Healthcare Provider Details

I. General information

NPI: 1659219038
Provider Name (Legal Business Name): NHUNG DOAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 E BROADWAY RD
MESA AZ
85204-1592
US

IV. Provider business mailing address

715 N COUNTRY CLUB DR APT 211
MESA AZ
85201-4989
US

V. Phone/Fax

Practice location:
  • Phone: 480-464-4742
  • Fax:
Mailing address:
  • Phone: 480-242-4602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS027827
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: