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1215210141
SUSAN PHAM
DALLAS, TX
NPI
1215210141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 42348)
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
-- SUSAN PHAM
3732 W. NORTHWEST HWY
DALLAS, TX 75220
Phone number: 214-956-0113
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Mailing Address
-- SUSAN PHAM
3732 W NORTHWEST HWY
DALLAS, TX 75220-4953
Phone number: 214-956-0113
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