Most Relevant Information
Provider Data
| NPI Number: | 1003426586 |
| Provider Name: | PHON CUN |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 021507 |
Most Important Dates
| Enumeration Date: | 08/09/2020 |
| Last Updated: | 08/09/2020 |
Provider Practice Location
4915 DIXIE HWY
LOUISVILLE
KY
402162501
Practice Location Phone/Fax
| Phone: | 5024488247 |
| Fax: |
Provider Mailing Location
4915 DIXIE HWY
LOUISVILLE
KY
402162501
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |