Individual provider · Type 1 NPI

Tommy Phan

Pharmacist · Lake Worth, TX

NPI number 1689957789 Active

Practice location

6244 Lake Worth Blvd
Lake Worth, TX 76135-3705

Call (817) 238-0385 Map

Mailing address

3332 Kimberly Ln
Grand Prairie, TX 75052-7041

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X49371 (TX)

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 1689957789

Tommy Phan's National Provider Identifier is 1689957789, issued on Sep 25, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Worth, TX. The record was last updated on Sep 25, 2011.