THAO THANH PHAM

BATON ROUGE, LA
NPI1154880961
Former NameTHANH-THAO THI PHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  022696)
Enumeration Date2019-03-19
Last Update Date2019-03-19
Business Address
THAO THANH PHAM RPH
14444 COURSEY BLVD
BATON ROUGE, LA 70817-1319
Phone number: 225-753-1499
Mailing Address
THAO THANH PHAM RPH
14444 COURSEY BLVD
BATON ROUGE, LA 70817-1319
Phone number: 225-753-1499
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