Phong Phan, PHARMD - Pharmacist in Coachella, CA

Phong Phan, PHARMD is a Pharmacist based in Coachella, California. Phong Phan is licensed to practice in California (license number 80481) and his current practice location is 84 010 Avenue 50, Coachella, California. He can be reached at his office (for appointments etc.) via phone at (760) 391-5656.

NPI number for Phong Phan is 1710518915 and his current mailing address is 1124 S Arapaho Dr, Santa Ana, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710518915.

Contact Information

Phong Phan, PHARMD
84 010 Avenue 50,
Coachella, CA 92236
(760) 391-5656
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePhong Phan
GenderMale
SpecialityPharmacist
Location84 010 Avenue 50, Coachella, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710518915
  • Provider Enumeration Date: 01/28/2020
  • Last Update Date: 01/28/2020

Medical Identifiers

Medical identifiers for Phong Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710518915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 80481 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phong Phan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phong Phan, PHARMD
1124 S Arapaho Dr,
Santa Ana, CA 92704-2407

Ph: (714) 623-6607
Phong Phan, PHARMD
84 010 Avenue 50,
Coachella, CA 92236

Ph: (760) 391-5656

Reviews and Comments


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