Phan, Ha

Phan, Ha is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Phan, Ha can be contacted via phone (601) 984-4201.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X T15530 Mississippi

Profile Details

NPI number 1215406715
LBN Legal business name Phan, Ha
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2018
Last updated Nov 14th, 2018 - about 6 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 1215406715 NPPES
Mississippi Other T15530 BOP

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