THUY AN PHAM

PICAYUNE, MS
NPI1396050506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MS  t-010172)
Additional Taxonomies183500000X Pharmacist
(Licence: LA  17969)
Enumeration Date2010-08-11
Last Update Date2010-08-11
Business Address
-- THUY AN PHAM
2209 HIGHWAY 11 N
PICAYUNE, MS 39466-2065
Phone number: 601-799-2087
Mailing Address
-- THUY AN PHAM
2209 HIGHWAY 11 N
PICAYUNE, MS 39466-2065
Phone number: 601-799-2087