Individual
JEANIE TUANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7587 S POWER RD, QUEEN CREEK, AZ 85142-6323
(480) 988-3182
(480) 988-5409
Mailing address
3109 E DOVER ST, MESA, AZ 85213-6930
(480) 584-1906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024921
AZ
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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