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Individual
ANTHONY PHAM
Active
Individual
ANTHONY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73110
CA
183500000X
Pharmacist
8031872-1701
UT
Other
Enumeration date
07/09/2015
Last updated
08/28/2015
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