Individual
MRS. DALE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
407 W OAK ST, KISSIMMEE, FL 34741-4931
(407) 201-4348
Mailing address
12516 PICA ST, ORLANDO, FL 32837-7425
(321) 945-0410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS23227
FL
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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