Mia Phan
Mia Phan is a Pharmacist in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2020.
- Licensed in
- GA
- In the registry since
- 2020
Practice location Address checks out
5320 Memorial DrStone Mountain, GA 30083-3201
Phone: (404) 508-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence RPH030294 (GA) |
|---|
Record details
| NPI number | 1609489558 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 28, 2020 |
| Last updated in NPPES | August 28, 2020 |
| Certification date | August 28, 2020 |
| Mailing address | 5320 Memorial Dr, Stone Mountain, GA 30083-3201 |
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Dr. Ketan M Patel, PHARMD
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