Individual
PHAT PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12 HARVARD ST, WALTHAM, MA 02453-8513
(781) 894-1600
Mailing address
1 LITTLES BROOK CT APT 29, BURLINGTON, MA 01803-6511
(857) 800-3598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1000787
MA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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