Individual provider · Type 1 NPI

Phu Pham

Pharmacist · Wagoner, OK

NPI number 1578840039 Active

Practice location

1305 W Cherokee St
Wagoner, OK 74467-4625

Call (918) 485-6688 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X14992 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1578840039

Phu Pham's National Provider Identifier is 1578840039, issued on Nov 12, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wagoner, OK. The record was last updated on Nov 12, 2011.