Individual
KIMBERLY TUONG VI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 AVENUE I, HUNTSVILLE, TX 77340-5830
(936) 437-5300
Mailing address
200 FOUNTAINS LN APT 2106, CONROE, TX 77304-5046
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
67137
TX
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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