Healthcare Provider Details

I. General information

NPI: 1063881241
Provider Name (Legal Business Name): FIONA LIM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 W LOWER BUCKEYE RD
PHOENIX AZ
85043-7405
US

IV. Provider business mailing address

8280 W LOWER BUCKEYE RD
PHOENIX AZ
85043-7405
US

V. Phone/Fax

Practice location:
  • Phone: 623-936-6388
  • Fax: 623-936-9034
Mailing address:
  • Phone: 623-936-6388
  • Fax: 623-936-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS021558
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS021558
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: