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CAITLYN UYEN PHUONG DO PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1396034054

Individual Registrant:
 CAITLYN UYEN PHUONG DO PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
7301 THEODORE DAWES RD  THEODORE, AL 36582-4029 US
Tel: 251-653-9831  Fax: --

Contact information for business:
7301 THEODORE DAWES RD  THEODORE, AL 36582-4029 US
Tel: 251-653-9831  Fax: --

Registration Information:
NPI: 1396034054
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL16596

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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