Individual
TRUONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3916 NE EVANGELINE TRWY, CARENCRO, LA 70520-5972
(337) 886-3660
Mailing address
3916 NE EVANGELINE TRWY, CARENCRO, LA 70520-5972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021656
LA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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