Individual
KIM PHUONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 BUCKTAIL DR, MIDDLETOWN, DE 19709-6130
(302) 449-0456
Mailing address
216 BUCKTAIL DR, MIDDLETOWN, DE 19709-6130
(302) 449-0456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0003692
DE
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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