Individual
HIEP PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2269 SUNSET BLVD, SLIDELL, LA 70461-5605
(504) 451-5029
Mailing address
2269 SUNSET BLVD, SLIDELL, LA 70458
(504) 451-5029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017007
LA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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