Individual
ANNIE TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439561
OH
Other
Enumeration date
06/22/2020
Last updated
07/29/2022
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