NPI | 1013275320 |
---|---|
Former Name | KHUONG HONG PHAM DANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ 15930) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2014-11-17 |