LONG PHAM

GARDEN GROVE, CA
NPI1245681345
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  69826)
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
-- LONG PHAM
11246 TRASK AVE
GARDEN GROVE, CA 92843-2632
Phone number: 714-902-7136
Mailing Address
-- LONG PHAM
11246 TRASK AVE
GARDEN GROVE, CA 92843-2632
Phone number: 714-902-7136
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