Individual
ANNE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
861 WIXFORD WAY, SACRAMENTO, CA 95864-6165
(916) 205-4228
Mailing address
861 WIXFORD WAY, SACRAMENTO, CA 95864-6165
(916) 205-4228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57603
CA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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