Phong Phan, PHARM.D

Pharmacist · Coachella, CA

Individual Active NPI

NPI number 1710518915

Practice location

84 010 Avenue 50
Coachella, CA 92236
Phone
(760) 391-5656

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NPI record

NPI
1710518915
Entity type
Individual (Type 1)
Enumeration date
January 28, 2020
Last updated
January 28, 2020
Certified
January 28, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 80481 CA

Mailing address

1124 S Arapaho Dr
Santa Ana, CA 92704-2407
Phone
(714) 623-6607

About Dr. Phan

Phong Phan, PHARM.D is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 84 010 Avenue 50, Coachella, CA 92236. The NPI number 1710518915 was assigned on January 28, 2020 and the record was last updated on January 28, 2020.

Dr. Phan lists a license in the registry: #80481 (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 Phong Phan, PHARM.D?

The NPI number is 1710518915.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (760) 391-5656.

Where is Dr. Phan located?

84 010 Avenue 50, Coachella, CA 92236.

What is the taxonomy code for Dr. 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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