SearchLouisiana183500000X

Truong Pham

NPI 1326593773 · on the registry since 2016 · sole proprietor

Practice

Address
3916 Ne Evangeline Trwy
Carencro, LA 70520
Phone
(337) 886-3660
Organisation at this address
Walgreen Co
Brookshire Grocery Company
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana