Individual
DR. LONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2171 ONEAL LN, BATON ROUGE, LA 70816-3206
(225) 751-6364
(225) 751-9821
Mailing address
2171 ONEAL LN, BATON ROUGE, LA 70816-3206
(225) 751-6364
(225) 751-9821
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19084
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269999
—
LA
Enumeration date
01/28/2014
Last updated
01/28/2014
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