NPI 1326644345

Giang Phan

Practitioner Pharmacist Columbia City, IN

Practice location

Address: 286 W Walker Way, Columbia City, IN 46725-1336
Phone: (260) 244-3113
Mailing address: 1925 Vance Ave, Fort Wayne, IN 46805-2307

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26028951A (IN)

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Registry record

NPI: 1326644345
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2020
Record last updated: 6 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.