Individual
LOI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
600 INTERNATIONAL BLVD # 105, OAKLAND, CA 94606-2993
(510) 451-3234
Mailing address
600 INTERNATIONAL BLVD # 105, OAKLAND, CA 94606-2993
(510) 451-3234
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
06/04/2025
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