Individual
DR. MY QUANG THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
219 N WOODLAND DR, FOREST, MS 39074-3307
(601) 469-3393
Mailing address
1290 WEST GOVERNMENT STREET, APT. F 34, BRANDON, MS 39042
(770) 289-3515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010791
MS
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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