Most Relevant Information
Provider Data
| NPI Number: | 1003352873 |
| Provider Name: | DIANA PHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 65847 |
Most Important Dates
| Enumeration Date: | 01/17/2017 |
| Last Updated: | 01/17/2017 |
Provider Practice Location
13652 CANTARA ST FL 1
24 HOUR PHARMACY
PANORAMA CITY
CA
914025423
Practice Location Phone/Fax
| Phone: | 8183753090 |
| Fax: |
Provider Mailing Location
13652 CANTARA ST FL 1
24 HOUR PHARMACY
PANORAMA CITY
CA
914025423
Provider Mailing Phone/Fax
| Phone: | 8183753090 |
| Fax: |