Patrick Thien an Pham

NPI #1720687502 in Grapevine, Texas

Provider Information

NPI Number: 1720687502
Entity Type: Individual
Name: Patrick Thien an Pham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 22, 2020
Last Updated: Oct 22, 2020

Practice Location

Address: 3701 IRA E WOODS AVE
City: Grapevine
State: Texas
ZIP Code: 76051-4213
Phone: (817) 251-2428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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