Individual
NGHI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1013 BONFORTE BLVD, PUEBLO, CO 81001-1856
(719) 544-9998
Mailing address
1013 BONFORTE BLVD, PUEBLO, CO 81001-1856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA0024710
CO
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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