Hung Pham
Pharmacist in Texarkana, TX. Individual provider (NPI-1).
NPI number1982204020
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1982204020
- Entity type
- Individual (NPI-1)
- Name
- Hung Pham
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2020
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 63696 | TX | Yes |
Practice location
4000 New Boston RdTexarkana, TX 75501-2819
Phone 903-831-3023
Mailing address
3327 Canyon RdGrand Prairie, TX 75052-7886
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