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Individual
DR. IRA PHAM DO
Active
Individual
DR. IRA PHAM DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
056366
NY
183500000X
Pharmacist
28RI02989200
NJ
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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