Organization
PHAT DAI TAI LLC
Active
Other names
Xpress Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE PHAN (OWNER)
(623) 826-7748
Entity
Organization
Contact information
Practice address
2222 E HIGHLAND AVE STE 102, PHOENIX, AZ 85016-4874
(623) 535-5822
(623) 535-9711
Mailing address
13203 W PALO VERDE DR, LITCHFIELD PARK, AZ 85340-8356
(623) 826-7748
(623) 535-9711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y005332
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356938
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/13/2011
Last updated
01/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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