Individual
ANHKHOA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12200 FAIRFAX TOWNE CTR, FAIRFAX, VA 22033-2877
(703) 359-0525
Mailing address
12200 FAIRFAX TOWNE CTR, FAIRFAX, VA 22033-2877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215112
VA
Other
Enumeration date
05/04/2019
Last updated
05/04/2019
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