Lieu, Phong Chan

Lieu, Phong Chan is an individual health care provider with primary practice located at 4363 Pacific St , Rocklin CA 95677-2117. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Geriatric is his primary health care specialty. Lieu, Phong Chan can be contacted via phone (916) 632-7560.

Contact Information

Primary practice address
4363 Pacific St Rocklin CA 95677-2117
Phone: (916) 632-7560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH 60473776 Washington
Pharmacy Service Providers / Pharmacist 183500000X 76315 California
Pharmacy Service Providers / Geriatric 1835G0303X 10624 California

Profile Details

NPI number 1033473962
LBN Legal business name Lieu, Phong Chan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Aug 16th, 2020 - about 4 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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