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NPI Code Detail

MEDICARE: NAM Q PHAM PHARMACIST

MEDICARE: NAM Q PHAM PHARMACIST
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
1183500000XPharmacist16113CO

General Provider Information

NPI Number : 1952644163
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAM Q PHAM PHARMACIST
Provider Business Mailing Address
First Line : 5125 W FLORIDA AVE
Second Line :
City : DENVER
State : CO
Zip : 80219-3605
Country : US
Telephone Number : 303-936-7403
Fax Number : 303-937-4426
Provider Business Practice Location Address
First Line : 5125 W FLORIDA AVE
Second Line :
City : DENVER
State : CO
Zip : 80219-3605
Country : US
Telephone Number : 303-936-7403
Fax Number : 303-937-4426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2013
Last Update Date : 08/06/2013

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Directions to “ NAM Q PHAM PHARMACIST” Practice Location

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