Individual
TRANG D PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 N AIRLINE HWY, GONZALES, LA 70737-2127
(225) 644-6547
Mailing address
1224 WESTWOOD DR, MARRERO, LA 70072-2419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020253
LA
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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