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NPI Code Detail

MEDICARE: CHRISTINE PHAM

MEDICARE: CHRISTINE PHAM
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
1183500000XPharmacistPH232585MA

General Provider Information

NPI Number : 1962002063
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE PHAM
Provider Business Mailing Address
First Line : 80 JOHNSON DR
Second Line :
City : RANDOLPH
State : MA
Zip : 02368-1819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 MEMORIAL DR
Second Line :
City : AVON
State : MA
Zip : 02322-1919
Country : US
Telephone Number : 508-427-4311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2020
Last Update Date : 10/28/2020

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Directions to “ CHRISTINE PHAM ” Practice Location

Language Start Address Practice Location
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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