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

Phong Phan, PHARMD

Individual provider Pharmacist · NPI 1710518915

Phong Phan, PHARMD is a Pharmacist in Coachella, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

84 010 Avenue 50
Coachella, CA 92236
Phone: (760) 391-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 80481 (CA)

Record details

NPI number1710518915
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address1124 S Arapaho Dr, Santa Ana, CA 92704-2407

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