Individual
JOHN THANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093-1503
(858) 657-5891
Mailing address
PO BOX 928008, SAN DIEGO, CA 92192-8008
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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