Individual provider · Type 1 NPI

Quy T. Phan, PharmD

Pharmacist · Travis Afb, CA

NPI number 1679430375 Active

Practice location

101 Bodin Cir Bldg 777
Travis Afb, CA 94535-1809

Mailing address

1200 Allison Dr Apt 5108
Vacaville, CA 95687-5040

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH1001860 (MA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1679430375

Quy T. Phan, PharmD's National Provider Identifier is 1679430375, issued on Jan 6, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Travis Afb, CA. The record was last updated on Jan 6, 2026.