Individual
TERRI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
11792 W KING ST APT 208, BOISE, ID 83713-5418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10829
ID
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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