Individual
ASHLEY MAI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
976 KELLER PKWY, KELLER, TX 76248-3608
(817) 431-5178
Mailing address
5308 DESERT FALLS DR, FORT WORTH, TX 76137-4931
(972) 979-4121
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
38267
TX
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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