Individual
NA THI NGUYEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 E SUNSHINE ST, SPRINGFIELD, MO 65804-2045
(417) 885-1274
Mailing address
2640 E SUNSHINE ST, SPRINGFIELD, MO 65804-2045
(417) 885-1274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019038203
MO
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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