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NPI Code Detail

MEDICARE: DR. TUONG N. PHAM PHARM.D.

MEDICARE: DR. TUONG N. 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
1183500000XPharmacist19828LA

General Provider Information

NPI Number : 1821343906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TUONG N. PHAM PHARM.D.
Provider Business Mailing Address
First Line : 973 HIGHWAY 90 E
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-5156
Country : US
Telephone Number : 985-395-9625
Fax Number :
Provider Business Practice Location Address
First Line : 973 HIGHWAY 90 E
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-5156
Country : US
Telephone Number : 985-395-9625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2012
Last Update Date : 07/16/2012

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