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Individual

CANH PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
155 ISLIP AVE, ISLIP, NY 11751-3210
(631) 581-1510
(631) 224-4312
Mailing address
155 ISLIP AVE, ISLIP, NY 11751-3210
(631) 581-1510
(631) 224-4312

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048900
NY

Other

Enumeration date
03/03/2008
Last updated
03/03/2008
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