Individual
MARY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10445 REED ST, T1928, WESTMINSTER, CO 80021-6063
(303) 410-8330
Mailing address
10445 REED ST, T1928, WESTMINSTER, CO 80021-6063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
167755
CO
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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