Individual
GRACE JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 201-3483
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 201-3483
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020669
AZ
Other
Enumeration date
09/23/2014
Last updated
09/25/2014
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