Phu Pham

Pharmacist · Wagoner, OK

Individual Active NPI

NPI number 1578840039

Practice location

1305 W Cherokee St
Wagoner, OK 74467-4625
Phone
(918) 485-6688

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NPI record

NPI
1578840039
Entity type
Individual (Type 1)
Enumeration date
November 12, 2011
Last updated
November 12, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 14992 OK

Mailing address

2501 SW 102ND St
Oklahoma City, OK 73159-7303

About Phu Pham

Phu Pham is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1305 W Cherokee St, Wagoner, OK 74467-4625. The NPI number 1578840039 was assigned on November 12, 2011 and the record was last updated on November 12, 2011.

Phu Pham lists a license in the registry: #14992 (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 Phu Pham?

The NPI number is 1578840039.

What is the phone number of Phu Pham?

The phone number listed for the practice location is (918) 485-6688.

Where is Phu Pham located?

1305 W Cherokee St, Wagoner, OK 74467-4625.

What is the taxonomy code for Phu 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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