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NPI Code Detail

MEDICARE: DR. KATIE CHAU PHAN PHARMD

MEDICARE: DR. KATIE CHAU PHAN 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
1183500000XPharmacistS019936AZ

General Provider Information

NPI Number : 1003243106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATIE CHAU PHAN PHARMD
Provider Business Mailing Address
First Line : 4251 S ELLESMERE ST
Second Line :
City : GILBERT
State : AZ
Zip : 85297-7538
Country : US
Telephone Number : 480-577-7078
Fax Number :
Provider Business Practice Location Address
First Line : 1405 S ALMA SCHOOL RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-7144
Country : US
Telephone Number : 480-256-7001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 05/06/2025

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