Individual
MRS. HANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 WATSON BLVD, CENTERVILLE, GA 31028-1771
(478) 953-2006
Mailing address
98 GLEN ARBOR LN, WARNER ROBINS, GA 31088-9172
(318) 617-4928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025734
GA
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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