PHUC PHAM

MOORE, OK
NPI1023399599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  14810)
Enumeration Date2011-08-29
Last Update Date2011-08-29
Business Address
-- PHUC PHAM
1229 N EASTERN AVE
MOORE, OK 73160-5860
Phone number: 405-793-1120
Mailing Address
-- PHUC PHAM
1229 N EASTERN AVE
MOORE, OK 73160-5860
Phone number: 405-793-1120
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