Individual
PAUL PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5585 TWIN KNOLLS RD, COLUMBIA, MD 21045-3245
(410) 730-2789
Mailing address
5585 TWIN KNOLLS ROAD, COLUMBIA, MD 21043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15576
MD
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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