Jackie Hang Phan, PHARMACIST

NPI #1043193394 in Peoria, Arizona

Provider Information

NPI Number: 1043193394
Entity Type: Individual
Name: Jackie Hang Phan, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Jul 25, 2025
Last Updated: Jul 25, 2025

Practice Location

Address: 6750 W THUNDERBIRD RD
City: Peoria
State: Arizona
ZIP Code: 85381-5026
Phone: (623) 209-0870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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