Individual
CHRISTOPHER PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 N 63RD ST, PHILADELPHIA, PA 19139-2201
(215) 472-7820
Mailing address
136 N 63RD ST, PHILADELPHIA, PA 19139-2201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP448751
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPI008656
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
Enumeration date
07/23/2014
Last updated
07/23/2014
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