Individual
QUYNH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 BRASHEAR AVE, MORGAN CITY, LA 70380-1923
(985) 384-3302
Mailing address
3200 TOWNSHEND W, GRETNA, LA 70056-8380
(225) 747-8555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022678
LA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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