Individual
JACKIE HANG PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
6750 W THUNDERBIRD RD, PEORIA, AZ 85381-5026
(623) 209-0870
Mailing address
19801 N 59TH AVE UNIT 10127, GLENDALE, AZ 85318-5007
(623) 826-7748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010547
AZ
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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