Most Relevant Information
Provider Data
| NPI Number: | 1003343641 |
| Provider Name: | DAVID QUAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 72886 |
Most Important Dates
| Enumeration Date: | 05/14/2017 |
| Last Updated: | 05/14/2017 |
Provider Practice Location
84010 AVENUE 50
COACHELLA
CA
922369661
Practice Location Phone/Fax
| Phone: | 7603915656 |
| Fax: |
Provider Mailing Location
12082 FIREBRAND ST
GARDEN GROVE
CA
928404101
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |