Individual
PHAM T DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2908 TWIN LAKE DR, OKLAHOMA CITY, OK 73165-7351
(405) 378-2904
Mailing address
2908 TWIN LAKE DR, OKLAHOMA CITY, OK 73165-7351
(405) 378-2904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11841
OK
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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