Thao Trang Pham

NPI #1689274532 in Sharpsburg, Georgia

Provider Information

NPI Number: 1689274532
Entity Type: Individual
Name: Thao Trang Pham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 29, 2020
Last Updated: Oct 29, 2020

Practice Location

Address: 310 FISCHER RD
City: Sharpsburg
State: Georgia
ZIP Code: 30277-2084
Phone: (770) 304-8263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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