Organization
PHAT TAI LLC.
Active
Other names
XPRESS CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PHAN (OWNER)
(623) 826-7745
Entity
Organization
Contact information
Practice address
14415 W MCDOWELL RD STE D104, GOODYEAR, AZ 85395-2521
(623) 935-0000
Mailing address
13203 W PALO VERDE DR, LITCHFIELD PARK, AZ 85340-8356
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
010648
AZ
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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