Individual
MINH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 SHAKER RD, ENFIELD, CT 06082-3140
(860) 253-0463
Mailing address
2 SHAKER RD, ENFIELD, CT 06082-3140
(860) 253-0463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014223
CT
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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