Individual
LAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 E RAY RD, CHANDLER, AZ 85225-1599
(480) 917-3041
Mailing address
1015 E RAY RD, CHANDLER, AZ 85225-1599
(480) 917-3041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015355
AZ
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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