Individual
THAO THANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
14444 COURSEY BLVD, BATON ROUGE, LA 70817-1319
(225) 753-1499
Mailing address
14444 COURSEY BLVD, BATON ROUGE, LA 70817-1319
(225) 753-1499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022696
LA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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