Individual
DIEP NGOC PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1060 N MAIN ST, EULESS, TX 76039-3300
(817) 283-1152
Mailing address
600 CUMBERLAND PL, IRVING, TX 75063-6633
(972) 409-9798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41483
TX
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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