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MINH DUC PHAN
NPI 1174148662
Pharmacist in Lodi, CA

Active since June 10, 2020
975 S FAIRMONT AVE, LODI, CA 95240(209) 339-7595(209) 369-7694 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minh Duc Phan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINH DUC PHAN (NPI 1174148662) is an individual pharmacist in Lodi, California, licensed in California (60175) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1174148662
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMINH DUC PHAN
Location Address975 S FAIRMONT AVELodi, CA 95240-5118
Mailing Address10135 Tony CtStockton, CA 95209-4578 · (209) 406-9980
Phone(209) 339-7595
Fax(209) 369-7694
Sole ProprietorNo
Enumeration DateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1174148662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 60175
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.
975 S FAIRMONT AVE, Lodi, CA 95240
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERI SPRING RD
Dietitian, Registered
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
Pathology (Anatomic Pathology & Clinical Pathology)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (916) 447-6267
DR. KEVIN EARL RABEY M.D.
Emergency Medicine
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
ARIANNA BUSH
Physician Assistant
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
LODI MEMORIAL HOSPTIAL PHARMACY WEST
Pharmacy (Clinic Pharmacy)
975 S FAIRMONT AVE, 2415 W VINE #104
LODI, CA 95240
San Joaquin County (209) 334-3411
MRS. KRISTINA FORTES FNP, MSN, RN
Nurse Practitioner (Family)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
ADAM JOSEPH WOODYARD DO
Radiology (Diagnostic Radiology)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
LANCY LU
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 339-7639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minh Phan's NPI number?

The NPI number for Minh Phan is 1174148662. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Minh Phan located?

Minh Phan practices at 975 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 339-7595.

What is Minh Phan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Minh Phan was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.