Timothy Van Phan

Pharmacist · Antioch, CA

Individual Active NPI

NPI number 1043726086

Practice location

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone
(925) 813-6500

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NPI record

NPI
1043726086
Entity type
Individual (Type 1)
Enumeration date
December 28, 2017
Last updated
December 28, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 77739 CA

Mailing address

4595 Winona Ave
San Diego, CA 92115-3332

About Timothy Phan

Timothy Van Phan is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4501 Sand Creek Rd, Antioch, CA 94531-8687. The NPI number 1043726086 was assigned on December 28, 2017 and the record was last updated on December 28, 2017.

Timothy Phan lists a license in the registry: #77739 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Van Phan?

The NPI number is 1043726086.

What is the phone number of Timothy Phan?

The phone number listed for the practice location is (925) 813-6500.

Where is Timothy Phan located?

4501 Sand Creek Rd, Antioch, CA 94531-8687.

What is the taxonomy code for Timothy Phan?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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