Individual
DANIEL PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1792 GARNET AVE, SAN DIEGO, CA 92109-3350
(858) 483-1489
Mailing address
1792 GARNET AVE, SAN DIEGO, CA 92109-3350
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
71678
CA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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