Phuc Pham

Pharmacist · Moore, OK

Individual Active NPI

NPI number 1023399599

Practice location

1229 N Eastern Ave
Moore, OK 73160-5860
Phone
(405) 793-1120

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NPI record

NPI
1023399599
Entity type
Individual (Type 1)
Enumeration date
August 29, 2011
Last updated
August 29, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 14810 OK

About Phuc Pham

Phuc Pham is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1229 N Eastern Ave, Moore, OK 73160-5860. The NPI number 1023399599 was assigned on August 29, 2011 and the record was last updated on August 29, 2011.

Phuc Pham lists a license in the registry: #14810 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phuc Pham?

The NPI number is 1023399599.

What is the phone number of Phuc Pham?

The phone number listed for the practice location is (405) 793-1120.

Where is Phuc Pham located?

1229 N Eastern Ave, Moore, OK 73160-5860.

What is the taxonomy code for Phuc Pham?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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