Individual
NGAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
(208) 381-4355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I75629
ID
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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