Individual ProviderChau-Ha PhanPharmacistPharmacy Service ProvidersPractice Address2000 Howell Branch Rd, Winter Park, FL 32792-1067(407) 657-9827(407) 617-5266PECOS EnrollmentBased on the most recent information from CMS, provider Chau-Ha Phan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861223943Provider TypeIndividualFull NamePhan, Chau-HaCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date8/12/2024Last Updated8/12/2024Contact InformationPractice LocationPractice Address2000 Howell Branch Rd, Winter Park, FL 32792-1067Phone(407) 657-9827FaxUnlisted FaxMailing LocationMailing Address8206 Lexington View Ln, Orlando, FL 32835-8055Phone(407) 617-5266FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePS67227Florida