FORGE PHAM

PINE RIDGE, SD
NPI1366719452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202210760)
Enumeration Date2011-11-17
Last Update Date2011-11-17
Business Address
-- FORGE PHAM PharmD
EAST HIGHWAY 18 PINE RIDGE INDIAN HOSPITAL
PINE RIDGE, SD 57770
Phone number: 605-867-3192
Mailing Address
-- FORGE PHAM PharmD
PO BOX 285
PINE RIDGE, SD 57770-0285
Phone number:
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