Individual
CONG THI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0582
Mailing address
6815 HORIZON DR, GRAND PRAIRIE, TX 75054-7202
(817) 528-7935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16390
NC
183500000X
Pharmacist
58128
CA
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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