Individual
ANTHONY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73110
CA
183500000X
Pharmacist
8031872-1701
UT
Other
Enumeration date
07/09/2015
Last updated
08/28/2015
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