Mia Phan is a Pharmacist based in Stone Mountain, GA. Mia Phan practices in Stone Mountain, GA. The NPI Number for Mia Phan is 1609489558 and holds a License No. RPH030294 (Georgia).
The current practice location address for Mia Phan is 5320 Memorial Dr, Stone Mountain, GA and can be reached out via phone at 404-508-7166.
Location: 5320 Memorial Dr, Stone Mountain, GA, 30083-3201
Provider Profile Details
NPI Number
1609489558
Provider Name
Mia Phan
Credential
Provider Entity Type
Individual
Gender
Female
Address
5320 Memorial Dr, Stone Mountain, GA, 30083-3201
Phone Number
404-508-7166
Fax Number
Provider Enumeration Date
08/28/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
5320 Memorial Dr
City
State
Zip
30083-3201
Phone Number
404-508-7166
Fax Number
Provider Business Mailing Address Details
Address
5320 Memorial Dr
City
State
Zip
30083-3201
Phone Number
404-508-7166
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
RPH030294 (Georgia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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