Most Relevant Information
Provider Data
| NPI Number: | 1003243106 |
| Provider Name: | KATIE CHAU PHAN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | S019936 |
Most Important Dates
| Enumeration Date: | 10/03/2013 |
| Last Updated: | 04/06/2014 |
Provider Practice Location
20227 N 27TH AVE
PHOENIX
AZ
850273242
Practice Location Phone/Fax
| Phone: | 4805777078 |
| Fax: |
Provider Mailing Location
3323 W KRALL ST
PHOENIX
AZ
850171436
Provider Mailing Phone/Fax
| Phone: | 4805777078 |
| Fax: |