Individual
DUC NAM PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 30TH ST E, BRADENTON, FL 34203-8400
(941) 727-6896
Mailing address
4519 62ND AVE E, BRADENTON, FL 34203-6305
(941) 545-4019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS32720
FL
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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