MEDICARE: DR. PAUL V PHAM PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS43599	FL

General Provider Information

NPI Number	:	1215274188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL V PHAM PHARM D

Provider Business Mailing Address
First Line	:	8623 FOXTAIL LOOP
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-3238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8623 FOXTAIL LOOP
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-3238
Country	:	US
Telephone Number	:	334-657-7668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2013
Last Update Date	:	12/12/2025

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Directions to “ DR. PAUL V PHAM PHARM D” Practice Location

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