Individual
TAM PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13503 S SANTA FE AVE, OKLAHOMA CITY, OK 73170-7314
(405) 300-6418
(405) 300-6417
Mailing address
13503 S SANTA FE AVE, OKLAHOMA CITY, OK 73170-7314
(405) 300-6418
(405) 300-6417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21158
OK
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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