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NPI Code Detail

MEDICARE: MRS. MINHHA THI PHAM RPH

MEDICARE: MRS. MINHHA THI 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
1183500000XPharmacist45670CA

General Provider Information

NPI Number : 1922260926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MINHHA THI PHAM RPH
Provider Business Mailing Address
First Line : 4697 STILLWELL RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-4566
Country : US
Telephone Number : 805-937-7655
Fax Number :
Provider Business Practice Location Address
First Line : 1120 E CLARK AVE
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-5123
Country : US
Telephone Number : 805-934-4002
Fax Number : 805-934-4782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 06/30/2008

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