Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Amy Phan, PHARMACIST

Individual provider Pharmacist · NPI 1417595810

Dr. Amy Phan, PHARMACIST is a Pharmacist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

6840 Lincoln Ave
Riverside, CA 92506-4256
Phone: (951) 369-9941
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Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 75136 (CA)

Record details

NPI number1417595810
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedDecember 16, 2019
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019
Mailing address6840 Lincoln Ave, Riverside, CA 92506-4256

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