Individual
THOMAS BUI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2171 ONEAL LN, BATON ROUGE, LA 70816-3206
(225) 751-6364
Mailing address
2171 ONEAL LN, BATON ROUGE, LA 70816-3206
(504) 710-6894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025563
LA
Other
Enumeration date
11/04/2024
Last updated
11/17/2024
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