Individual
AIDIEM PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 DALLAS HWY SW, T-1165, MARIETTA, GA 30064-2661
(770) 427-4136
Mailing address
2535 DALLAS HWY SW, T-1165, MARIETTA, GA 30064-2661
(770) 427-4136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023400
GA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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