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Individual
TRUNG DUC PHAM
Active
Individual
TRUNG DUC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRX
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9948
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PRH-0009948
OR
Other
Enumeration date
06/28/2013
Last updated
04/26/2017
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