Individual
ANTHONY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 855-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71484
CA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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