Individual
MAI-KHOI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
225 E CLOUD AVE, ANDOVER, KS 67002-8824
(316) 733-3725
Mailing address
1816 N PECKHAM CIR, WICHITA, KS 67230-1787
(316) 516-6421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-102894
KS
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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