Provider Demographics
NPI:1164053708
Name:PHAM CONSULTING, LLC
Entity Type:Organization
Organization Name:PHAM CONSULTING, LLC
Other - Org Name:ALLCARE SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:714-760-4615
Mailing Address - Street 1:1403 N TUSTIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-6857
Mailing Address - Country:US
Mailing Address - Phone:833-760-4615
Mailing Address - Fax:714-475-1606
Practice Address - Street 1:1403 N TUSTIN AVE STE 150
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-6857
Practice Address - Country:US
Practice Address - Phone:714-760-4615
Practice Address - Fax:714-475-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-02
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy