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NPI Code Detail

MEDICARE: VICTORIA CHANG PHARMD

MEDICARE: VICTORIA CHANG PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistS022763AZ
2183500000XPharmacistS022763AZ

General Provider Information

NPI Number : 1275057333
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA CHANG PHARMD
Provider Business Mailing Address
First Line : 6235 N 19TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-1605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 520 E BASELINE RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-6554
Country : US
Telephone Number : 602-243-3014
Fax Number : 602-305-9092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2017
Last Update Date : 05/13/2026

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Directions to “ VICTORIA CHANG PHARMD” Practice Location

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