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NPI Code Detail

MEDICARE: AN THIEN PHAM PHARMACY TECHNICIAN

MEDICARE: AN THIEN PHAM PHARMACY TECHNICIAN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1437821634
Entity Type Code : Individual
Provider Name (Legal Business Name) : AN THIEN PHAM PHARMACY TECHNICIAN
Provider Business Mailing Address
First Line : 4865 NELSON ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-1868
Country : US
Telephone Number : 510-378-6860
Fax Number :
Provider Business Practice Location Address
First Line : 39201 STATE ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-1437
Country : US
Telephone Number : 866-206-2008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 10/05/2021

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Directions to “ AN THIEN PHAM PHARMACY TECHNICIAN” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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