Individual
DU HAI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4216 L ST, PHILADELPHIA, PA 19124-4906
(267) 864-8546
Mailing address
4216 L ST, PHILADELPHIA, PA 19124-4906
(267) 864-8546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
452644
PA
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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