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NPI Code Detail

MEDICARE: MS. NGOC BICH THI PHAM PHARMD

MEDICARE: MS. NGOC BICH THI 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
1183500000XPharmacistS018663AZ

General Provider Information

NPI Number : 1003193483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NGOC BICH THI PHAM PHARMD
Provider Business Mailing Address
First Line : 3030 W CACTUS WREN DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-8427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 744 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-2207
Country : US
Telephone Number : 602-279-9337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2011
Last Update Date : 11/13/2011

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