Individual
VIVIAN PHAM DUONG RUSHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1209
(806) 725-0407
Mailing address
3615 19TH ST, LUBBOCK, TX 79410-1209
(806) 725-0407
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
40934
TX
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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