Individual provider · Type 1 NPI

Liem Phan

Pharmacist · Holly Hill, FL

NPI number 1881015576 Active

Practice location

1340 Ridgewood Ave
Holly Hill, FL 32117-2320

Call (386) 615-5079 Map

Mailing address

302 River Bluff Dr
Ormond Beach, FL 32174-3837

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS48997 (FL)

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 1881015576

Liem Phan's National Provider Identifier is 1881015576, issued on Dec 23, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Holly Hill, FL. The record was last updated on Dec 28, 2013.