Individual
MAI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3082 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4354
(228) 872-2646
Mailing address
3082 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14593
MS
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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