NPI 1023399599
Phuc Pham
Practice location
- Address
- 1229 N Eastern Ave, Moore, OK 73160-5860
- Phone
- (405) 793-1120
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1023399599
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Aug 2011
- Record last updated
- 29 Aug 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.