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Individual

CHI P PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
281 MAIN ST, APT 401, WATERVILLE, ME 04901-4957
(857) 221-2408
Mailing address
281 MAIN ST, APT 401, WATERVILLE, ME 04901-4957
(857) 221-2408

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5763
ME

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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