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Contact Information

DUC D PHAM, RPH
26520 CACTUS AVE RM E1115
MORENO VALLEY, CA92555-3927
 Phone: 951-486-5344
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for DUC D PHAM · (Male)

NPI Number 1801105135
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 10/05/2010
Last updated 01/15/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 64699
  • CA License # LCF57082
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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