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

Thao Thanh Phan, RPH

Individual provider Pharmacist · NPI 1790403558

Thao Thanh Phan, RPH is a Pharmacist in Gretna, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2022
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

11350 Wickersham Blvd
Gretna, NE 68028-6979
Phone: (402) 881-3687
Fax: (402) 881-3533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17643 (NE)

Record details

NPI number1790403558
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address11350 Wickersham Blvd, Gretna, NE 68028-6979

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