Phan, Phong

Phan, Phong is an sole proprietor health care provider with primary practice located at 84 010 Avenue 50 , Coachella CA 92236. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Phan, Phong can be contacted via phone (760) 391-5656.

Contact Information

Primary practice address
84 010 Avenue 50 Coachella CA 92236
Phone: (760) 391-5656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 80481 California

Profile Details

NPI number 1710518915
LBN Legal business name Phan, Phong
Credentials PHARM.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2020
Last updated Jan 28th, 2020 - about 5 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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