Phan, Thao Thanh

Phan, Thao Thanh is an sole proprietor health care provider with primary practice located at 11350 Wickersham Blvd , Gretna NE 68028-6979. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Phan, Thao Thanh can be contacted via phone (402) 881-3687.

Contact Information

Primary practice address
11350 Wickersham Blvd Gretna NE 68028-6979
Phone: (402) 881-3687
Fax: (402) 881-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 17643 Nebraska

Profile Details

NPI number 1790403558
LBN Legal business name Phan, Thao Thanh
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2022
Last updated Aug 18th, 2022 - about 2 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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