Individual
LE THIEN TRUC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(669) 377-4729
Mailing address
3913 STANTON HALL PKWY, FORT WAYNE, IN 46815-5856
(669) 377-4729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031551A
IN
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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