Individual
HIEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6250 PASEO DEL NORTE NE, ALBUQUERQUE, NM 87113-1712
(505) 217-2393
Mailing address
9909 SAND VERBENA TRL NE, ALBUQUERQUE, NM 87122-3673
(505) 459-6598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009549
NM
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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