Individual
LOANNE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 S MARKET ST, GILBERT, AZ 85295-1300
(480) 224-6911
Mailing address
2501 S MARKET ST, GILBERT, AZ 85295-1300
(480) 224-6911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014449
AZ
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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