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

Phung Kim Phan

Individual provider Pharmacist · NPI 1174110852

Phung Kim Phan is a Pharmacist in Grovetown, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

869 Horizon South Pkwy
Grovetown, GA 30813-3025
Phone: (706) 651-0306
Fax: (706) 210-0292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH028339 (GA)

Record details

NPI number1174110852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2020
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address869 Horizon South Pkwy, Grovetown, GA 30813-3025

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