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NPI Code Detail

MEDICARE: TANYA THANH-NHAN PHAM RPH

MEDICARE:   TANYA THANH-NHAN PHAM  RPH
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
1183500000XPharmacist72200CA

General Provider Information

NPI Number : 1477942928
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA THANH-NHAN PHAM RPH
Provider Business Mailing Address
First Line : 5217 W 2ND ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92703-3012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1151 CRESTON RD
Second Line :
City : PASO ROBLES
State : CA
Zip : 93446-3031
Country : US
Telephone Number : 805-239-3028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2015
Last Update Date : 01/21/2015

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Directions to “ TANYA THANH-NHAN PHAM RPH” Practice Location

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