Individual
MARY ANN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12244 W CACTUS RD, EL MIRAGE, AZ 85335-2399
(623) 876-1620
(623) 876-1745
Mailing address
12244 W CACTUS RD, EL MIRAGE, AZ 85335-2399
(623) 876-1620
(623) 876-1745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AZ S019667
AZ
Other
Enumeration date
08/22/2013
Last updated
05/12/2014
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