Individual
MRS. VAN KHANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2324 US HWY 17, RICHMOND HILL, GA 31324
(912) 756-2531
(912) 756-2558
Mailing address
2324 US HWY 17, RICHMOND HILL, GA 31324
(912) 756-2531
(912) 756-2558
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHTC000752
GA
Other
Enumeration date
12/12/2020
Last updated
12/14/2020
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