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

Minh Duc Phan

Individual provider Pharmacist · NPI 1174148662

Minh Duc Phan is a Pharmacist in Lodi, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone: (209) 339-7595
Fax: (209) 369-7694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 60175 (CA)

Record details

NPI number1174148662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address10135 Tony Ct, Stockton, CA 95209-4578

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