Individual
QUANG BENJAMIN THAI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
904 S RANGE AVE, DENHAM SPRINGS, LA 70726-4802
(225) 665-3237
Mailing address
4851 GILBERT ST, NEW ORLEANS, LA 70129-1612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022257
LA
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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