Phong Pham, R.Ph.
Pharmacist in Goodyear, AZ. Individual provider (NPI-1).
NPI number1427463546
StatusActive
Last updated in NPPESJun 26, 2014
Details
- NPI
- 1427463546
- Entity type
- Individual (NPI-1)
- Name
- Phong Pham
- Credential
- R.Ph.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2014
- Last updated
- Jun 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S013083 | AZ | Yes |
Practice location
14200 W Indian School RdGoodyear, AZ 85395-9248
Phone 623-935-7578 · Fax 623-935-7581
Mailing address
14200 W Indian School RdGoodyear, AZ 85395-9248
Phone 623-935-7578 · Fax 623-935-7581
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