Individual
LISA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 COMMONS PL, MANHATTAN, KS 66503-3001
(785) 770-3871
Mailing address
800 COMMONS PL, MANHATTAN, KS 66503-3001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15825
KS
Other
Enumeration date
07/27/2013
Last updated
09/23/2013
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