Individual
HOA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
5520 HIGHWAY 80 E, PEARL, MS 39208-8926
(601) 939-4342
Mailing address
5520 HIGHWAY 80 E, PEARL, MS 39208-8926
(601) 939-4342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100242
MS
Other
Enumeration date
09/16/2021
Last updated
01/20/2026
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