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Individual

MRS. THOA NGOC PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-5277
Mailing address
22ND MEDICAL GROUP, 57950 LEAVENWORTH, MCCONNELL AFB, KS 67221-3506
(316) 759-5277

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3196
NH

Other

Enumeration date
05/01/2007
Last updated
09/06/2025
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