Joachim Phuc Thai Van Dat
ActiveCalifornia license 26802
License
- Licensed by
- California State Board of Pharmacy
- License number
- 26802
- Status
- Active
- First issued
- November 28, 2022
- Expired
- November 1, 2026
- License holder
- Joachim Phuc Thai Van Dat
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
- Year graduated
- 2022
- Degree
- Degree Not Applicable
Contact
16840 Orchard Bend Rd
Poway, CA 92064
Poway, CA 92064
San Diego County