Individual
MARTIN TRI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3102
Mailing address
7436 NW 130TH ST, OKLAHOMA CITY, OK 73142-2572
(405) 603-2327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13082
OK
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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