Individual
CHRISTOPHER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 CLINIC DR, TYLER, TX 75701-2120
(903) 592-8115
Mailing address
1301 CLINIC DR, TYLER, TX 75701-2120
(903) 592-8115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73441
TX
1835N0905X
Nuclear Pharmacist
73441
TX
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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