Do, Susan Phan

Do, Susan Phan is an individual health care provider with primary practice located at 7245 Reseda Blvd Hado Pharmacy, Reseda CA 91335-3046. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Do, Susan Phan can be contacted via phone (818) 342-9333.

Contact Information

Primary practice address
7245 Reseda Blvd Hado Pharmacy Reseda CA 91335-3046
Phone: (818) 342-9333
Fax: (818) 342-9320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH43236 California
Pharmacy Service Providers / Pharmacist 183500000X PHY40601 California

Profile Details

NPI number 1770565079
LBN Legal business name Do, Susan Phan
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770565079 NPPES
California MEDICAID PHA406010

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