Individual
JOHN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 S BRISTOL ST, SANTA ANA, CA 92704-6201
(714) 754-5584
Mailing address
2701 S. BRISTOL ST., SANTA ANA, CA 92704
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH66403
CA
Other
Enumeration date
07/03/2017
Last updated
03/17/2018
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