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Individual
TRAVIS THAI VINH PHAM
Active
Individual
TRAVIS THAI VINH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
057528
NY
183500000X
Pharmacist
Primary
68590
CA
Other
Enumeration date
07/19/2013
Last updated
02/03/2016
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