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NPI Code Detail

MEDICARE: LINH PHAM PHARMD

MEDICARE: LINH 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
1183500000XPharmacist46761TX

General Provider Information

NPI Number : 1790012367
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINH PHAM PHARMD
Provider Business Mailing Address
First Line : 14455 PRESTON RD
Second Line : APT. 212
City : DALLAS
State : TX
Zip : 75254-8539
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18410 PRESTON RD
Second Line :
City : DALLAS
State : TX
Zip : 75252-5416
Country : US
Telephone Number : 972-599-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2009
Last Update Date : 11/03/2009

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Directions to “ LINH PHAM PHARMD” 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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