Individual
AMY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8027 KITTY HAWK RD, CONVERSE, TX 78109-2526
(210) 566-3615
Mailing address
633 S SAINT MARYS ST UNIT 2112, SAN ANTONIO, TX 78205-2805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75769
TX
Other
Enumeration date
03/25/2021
Last updated
08/24/2025
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