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NPI Code Detail

MEDICARE: YEN PHAM PHARMD

MEDICARE: YEN PHAM PHARMD
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
1183500000XPharmacistA1-0003867DE

General Provider Information

NPI Number : 1407155971
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEN PHAM PHARMD
Provider Business Mailing Address
First Line : 2 HOLLISTER LEIGH CT
Second Line :
City : NEWARK
State : DE
Zip : 19702-1142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 399 NEW LONDON RD
Second Line :
City : NEWARK
State : DE
Zip : 19711-7044
Country : US
Telephone Number : 302-731-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2011
Last Update Date : 03/22/2011

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Directions to “ YEN PHAM PHARMD” Practice Location

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