Organization
PHAM FAMILY PHARMACY INC
Active
Organization
PHAM FAMILY PHARMACY INC
Active
Other names
Pham Family Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CARY ROSSEL (OFFICER)
(214) 888-8099
Entity
Organization
Contact information
Practice address
11722 MARSH LN STE 343, DALLAS, TX 75229-2682
(210) 366-1212
(210) 366-1217
Mailing address
14902 PRESTON RD, SUITE 404-513, DALLAS, TX 75254-9191
(214) 888-8099
(214) 261-2217
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123274
PK
—
Enumeration date
12/28/2009
Last updated
10/19/2016
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