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NPI Code Detail

MEDICARE: MRS. LIEN THUY PHAM PHARM.D.

MEDICARE:  MRS. LIEN THUY 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
1183500000XPharmacistPS27737FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS27737OTHERFLPHARMACIST LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730316704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LIEN THUY PHAM PHARM.D.
Provider Business Mailing Address
First Line : 550 TECHNOLOGY PARK
Second Line : SUITE 1000
City : LAKE MARY
State : FL
Zip : 32746-7131
Country : US
Telephone Number : 407-865-7795
Fax Number : 407-936-1034
Provider Business Practice Location Address
First Line : 550 TECHNOLOGY PARK
Second Line : SUITE 1000
City : LAKE MARY
State : FL
Zip : 32746-7131
Country : US
Telephone Number : 407-865-7795
Fax Number : 407-936-1034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 06/17/2009

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