Provider Demographics
NPI:1467758748
Name:KWAN, PHILIP KIN-SHING (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:KIN-SHING
Last Name:KWAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 BRONZE STAR DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95776-5409
Mailing Address - Country:US
Mailing Address - Phone:530-406-2129
Mailing Address - Fax:530-406-2126
Practice Address - Street 1:2299 BRONZE STAR DR
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95776-5409
Practice Address - Country:US
Practice Address - Phone:530-406-2129
Practice Address - Fax:530-406-2126
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 28329183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist