Individual
MR. KEVIN ANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2626 S 83RD AVE, PHOENIX, AZ 85043-2125
(623) 907-2472
(623) 907-2472
Mailing address
14097 W ROANOKE AVE, GOODYEAR, AZ 85395-2480
(623) 236-8669
(623) 236-8669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S011232
AZ
Other
Enumeration date
05/23/2010
Last updated
09/09/2014
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