Individual
CAOTUAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
39527 HIGHWAY 42, PRAIRIEVILLE, LA 70769-4651
(225) 673-6374
Mailing address
39527 HIGHWAY 42, PRAIRIEVILLE, LA 70769-4651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021355
LA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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