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Individual

NGOC PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
3501 N STOCKTON HILL RD, KINGMAN, AZ 86409-3227
(928) 757-1999
Mailing address
3501 N STOCKTON HILL RD, KINGMAN, AZ 86409-3227
(928) 757-1999

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.301413
IL
183500000X
Pharmacist
20167
NV
183500000X
Pharmacist
Primary
S023785
AZ

Other

Enumeration date
07/13/2019
Last updated
07/13/2019
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