Individual
KIMANH THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
5505 SEMINARY RD APT 906N, FALLS CHURCH, VA 22041-2940
(228) 233-9661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210478
VA
183500000X
Pharmacist
E-010374
MS
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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