Individual
DUC D PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
26520 CACTUS AVE RM E1115, MORENO VALLEY, CA 92555-3927
(951) 486-5344
Mailing address
26520 CACTUS AVE RM E1115, MORENO VALLEY, CA 92555-3927
(951) 486-5344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
64699
CA
3336I0012X
Institutional Pharmacy
Primary
LCF57082
CA
Other
Enumeration date
10/05/2010
Last updated
01/15/2020
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