Individual
MALLORY YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1300 N 12TH ST, PHOENIX, AZ 85006-2848
(650) 392-9225
Mailing address
777 E STELLA LN APT 426, PHOENIX, AZ 85014-0016
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S027271
AZ
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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