Individual
MISS HONGVIEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2990 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5872
(770) 978-6475
(770) 978-0369
Mailing address
2990 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5872
(770) 978-6475
(417) 336-6907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014030499
MO
183500000X
Pharmacist
RPH032640
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528452752
—
GA
Enumeration date
03/25/2015
Last updated
12/22/2022
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