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KIM NGAN T PHAM PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1679105092

Individual Registrant:
 KIM NGAN T PHAM PHARM D
Gender: F
Not Sole Proprietor

Location and contact information for practice:
51 WELLNESS WAY # 110  VALLEY SPRINGS, CA 95252-9736 US
Tel: 209-772-9088  Fax: --

Contact information for business:
51 WELLNESS WAY # 110  VALLEY SPRINGS, CA 95252-9736 US
Tel: 209-772-9088  Fax: --

Registration Information:
NPI: 1679105092
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CAA48001

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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