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Individual

DR. JESSICA PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, BCACP

Contact information

Practice address
19841 N 27TH AVE STE 303, PHOENIX, AZ 85027-4011
(480) 583-4000
Mailing address
19841 N 27TH AVE STE 303, PHOENIX, AZ 85027-4011

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS62927
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PS62927
FL
1835P2201X
Ambulatory Care Pharmacist
PS62927
FL
1835P2201X
Ambulatory Care Pharmacist
Primary
S027871
AZ

Other

Enumeration date
08/11/2021
Last updated
05/28/2026
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