Individual
HONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 CENTRAL AVE SE, ALBUQUERQUE, NM 87123-2732
(505) 292-0917
Mailing address
10300 CENTRAL AVE SE, ALBUQUERQUE, NM 87123-2732
(505) 506-1966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009382
NM
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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