Individual
MRS. KAYLA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 CHAMPLAIN DR, SUITE 113, LINCOLN, NE 68521-4714
(402) 304-7564
Mailing address
4640 CHAMPLAIN DR, SUITE 113, LINCOLN, NE 68521-4714
(402) 304-7564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12758
NE
Other
Enumeration date
10/22/2011
Last updated
05/23/2016
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