Individual
DUY TRONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4816 S ASH AVE STE 101, TEMPE, AZ 85282-7735
(855) 857-4701
Mailing address
1515 E WARNER RD, GILBERT, AZ 85296-3138
(480) 892-1348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024859
AZ
Other
Enumeration date
09/03/2020
Last updated
08/05/2021
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