Individual
ANDREW PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2245 JACKSBORO HWY, FORT WORTH, TX 76114-2319
(817) 569-6241
Mailing address
1307 SAN MARCOS DR, ARLINGTON, TX 76012-1757
(817) 228-1372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55884
TX
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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