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Individual

KHANH PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
6820 W ANN RD, LAS VEGAS, NV 89130-1113
(702) 645-4106
(702) 645-2595
Mailing address
6820 W ANN RD, LAS VEGAS, NV 89130-1113

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16235
NV

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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