Individual
BRANDON PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 S LANCASTER RD, DALLAS, TX 75216-7415
(214) 375-8924
Mailing address
5050 S LANCASTER RD, DALLAS, TX 75216-7415
(214) 375-8924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56683
TX
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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