Individual
VY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 SAN JOSE BLVD, APT 1225, CARLSBAD, NM 88220-5420
(575) 885-1029
Mailing address
1907 SAN JOSE BLVD, APT 1225, CARLSBAD, NM 88220-5420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008617
NM
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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