Individual
NGA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
11129 GORDON RD, FREDERICKSBURG, VA 22407-1714
(540) 785-6634
(540) 785-6671
Mailing address
11129 GORDON RD, FREDERICKSBURG, VA 22407-1714
(540) 785-6634
(540) 785-6671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010919
VA
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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