Individual
MS. AMY PHUC DIEM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
(925) 813-7287
Mailing address
120 ACORN LN APT 197, PITTSBURG, CA 94565-4205
(408) 309-9786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72861
CA
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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