Organization
NMCSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONG THI PHAM PHARM.D. (STAFF/CLINICAL PHARMACIST)
(619) 532-8596
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 532-8596
Mailing address
6540 REFLECTION DR, #1129, SAN DIEGO, CA 92124-5119
(858) 752-3368
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
16390
NC
Other
Enumeration date
02/24/2006
Last updated
08/22/2020
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