Individual
ERIC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4510 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6931
(337) 988-7290
Mailing address
4510 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021286
LA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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