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Thao Phan
NPI 1508445818 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1515 S Ellison Dr
San Antonio, TX 78245 - Phone
- (210) 276-2012
- Organisation at this address
- Wal-Mart Stores Texas Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas