Individual
EIRENE HOANG UYEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20205 N 67TH AVE # 100, GLENDALE, AZ 85308-6659
(623) 572-8844
(623) 572-8837
Mailing address
12375 W VISTA AVE, GLENDALE, AZ 85307-1775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027551
AZ
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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