Individual
AILEEN TRANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9613 HARFORD RD, BALTIMORE, MD 21234-2150
(206) 240-9503
Mailing address
304 DREW ST, BALTIMORE, MD 21224-2714
(206) 240-9503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21787
MD
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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