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Individual

SANDRA PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2201 VETERANS MEMORIAL DR, ABBEVILLE, LA 70510-4004
(337) 898-1350
Mailing address
814 N BROADWAY ST, ERATH, LA 70533-3004
(337) 517-0614

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023699
LA

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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