Individual
SELENA N PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
3081 BOONE AVE SW, WYOMING, MI 49519-7007
(616) 334-8159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351009496
MI
Other
Enumeration date
06/23/2019
Last updated
10/20/2020
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