Individual
THANH TUYEN VU PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
950 E KENOSHA ST, BROKEN ARROW, OK 74012-2071
(918) 251-3996
Mailing address
950 E KENOSHA ST, BROKEN ARROW, OK 74012-2071
(918) 251-3996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17868
OK
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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