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1811216302
KEVIN ANH PHAM
PHOENIX, AZ
NPI
1811216302
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Former Name
HIEP ANH PHAM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S011232)
Enumeration Date
2010-05-23
Last Update Date
2014-09-09
Business Address
Mr. KEVIN ANH PHAM rph
2626 S 83RD AVE
PHOENIX, AZ 85043-2125
Phone number: 623-907-2472
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Mailing Address
Mr. KEVIN ANH PHAM rph
14097 W ROANOKE AVE
GOODYEAR, AZ 85395-2480
Phone number: 623-236-8669
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