Pham, Diem B

Pham, Diem B is an sole proprietor health care provider with primary practice located at 1201 Nw 12Th St , Moore OK 73170-1220. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Pham, Diem B can be contacted via phone (405) 799-2244.

Contact Information

Primary practice address
1201 Nw 12Th St Moore OK 73170-1220
Phone: (405) 799-2244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12618 Oklahoma

Profile Details

NPI number 1548540073
LBN Legal business name Pham, Diem B
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2011
Last updated Aug 29th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548540073 NPPES
Oklahoma MEDICAID 1861407827

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