Individual
DAT DUC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4172
Mailing address
155 MARLENE DR, JACKSONVILLE, NC 28546-7540
(704) 763-9204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21593
NC
Other
Enumeration date
10/14/2011
Last updated
04/16/2014
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