LONG THIEN PHAM

CHINLE, AZ
NPI1710223979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: VA  0202209765)
Enumeration Date2012-12-17
Last Update Date2012-12-17
Business Address
Dr. LONG THIEN PHAM Pharm.D.
HWY 191 HOSPITAL TURNOFF
CHINLE, AZ 86503
Phone number: 928-674-7526
Mailing Address
Dr. LONG THIEN PHAM Pharm.D.
PO BOX 680
CHINLE, AZ 86503-0680
Phone number: 571-286-2178
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