Phuong Ta, CPHT

NPI #1932225307 in Holiday, Florida

Provider Information

NPI Number: 1932225307
Entity Type: Individual
Name: Phuong Ta, CPHT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacy Technician
Credential: CPHT
Enumeration Date: Mar 21, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 1640 US HIGHWAY 19
City: Holiday
State: Florida
ZIP Code: 34691-5605
Phone: (727) 938-3731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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