Individual
ANGELICA T PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 E 10TH ST, GILROY, CA 95020-6576
(408) 848-2328
Mailing address
360 E 10TH ST, GILROY, CA 95020-6576
(408) 848-2328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46544
CA
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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