Individual
AMY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DRIVE, DEPT OF PHARMACEUTICAL SERVICES, MORGANTOWN, WV 26506-1200
(304) 598-4148
Mailing address
124 SOUTHWIND CIR, MORGANTOWN, WV 26508-9320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011795
WV
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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