Phuc Pham

NPI #1023399599 in Moore, Oklahoma

Provider Information

NPI Number
1023399599
Entity Type
Individual
Name
Phuc Pham
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Aug 29, 2011
Last Updated
Aug 29, 2011

Practice Location

Address
1229 N EASTERN AVE
City
Moore
ZIP Code
73160-5860
Phone
(405) 793-1120

Specialties & Taxonomy Codes

Specialty
Pharmacist

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