Individual
NGOC MAI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 FM 663, MIDLOTHIAN, TX 76065-5600
(469) 336-2041
Mailing address
1304 PIERRON DR, ARLINGTON, TX 76002-3653
(817) 583-0726
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
59170
TX
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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