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Individual

TU PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
926 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5966
(575) 758-2743
Mailing address
926 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5966

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008396
NM

Other

Enumeration date
09/02/2015
Last updated
09/02/2015
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