Individual
TUNG THANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
16935 SW CAMBRIDGE DR, BEAVERTON, OR 97078-1968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019724
OR
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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