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1316578180
DERRICK PHAM
DOWNEY, CA
NPI
1316578180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 56843)
Enumeration Date
2020-01-30
Last Update Date
2020-02-01
Business Address
DERRICK PHAM
9521 DALEN ST
DOWNEY, CA 90242-4847
Phone number: 866-206-2983
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Mailing Address
DERRICK PHAM
9521 DALEN ST
DOWNEY, CA 90242-4847
Phone number: 866-206-2983
Copy
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