Phan, David

Phan, David is an individual health care provider with primary practice located at 1600 W Roosevelt Rd , Broadview IL 60155-4024. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Phan, David can be contacted via phone (708) 343-5323.

Contact Information

Primary practice address
1600 W Roosevelt Rd Broadview IL 60155-4024
Phone: (708) 343-5323
Fax: (708) 343-5857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051-287826 Illinois

Profile Details

NPI number 1578831897
LBN Legal business name Phan, David
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2011
Last updated Dec 1st, 2011 - about 14 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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