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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