Healthcare Provider Details

I. General information

NPI: 1730285610
Provider Name (Legal Business Name): AMY KEM-LAI LEUNG PHARMD BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 03/18/2020
Certification Date: 03/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 EAST INDIAN SCHOOL ROAD
PHOENIX AZ
85012-1892
US

IV. Provider business mailing address

683 EAST RIVIERA DRIVE
CHANDLER AZ
85249-6965
US

V. Phone/Fax

Practice location:
  • Phone: 602-277-5551
  • Fax: 602-222-2737
Mailing address:
  • Phone: 480-275-8028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberS014189
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: