Individual provider · Type 1 NPI

Phuong Phan

Pharmacist · San Jose, CA

NPI number 1770010308 Active

Practice location

3074 Story Rd
San Jose, CA 95127-3934

Mailing address

3074 Story Road
San Jose, CA 95127

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X59453 (CA)

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 1770010308

Phuong Phan's National Provider Identifier is 1770010308, issued on May 13, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Jose, CA. The record was last updated on May 13, 2017.