Dr. Ira Pham DO, PharmD
Pharmacist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1710414701
StatusActive
Last updated in NPPESMay 22, 2017
Details
- NPI
- 1710414701
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ira Pham DO
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2017
- Last updated
- May 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 056366 | NY | Yes |
| 183500000X | Pharmacist | 28RI02989200 | NJ |
Practice location
155 Crystal StBrooklyn, NY 11208-2624
Phone 718-484-8157
Mailing address
4126 27th St Apt 5gLong Island City, NY 11101-3839
Phone 917-209-7971
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