MEDICARE: SAMMI HUA 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
1	183500000X	Pharmacist	S026683	AZ

General Provider Information

NPI Number	:	1013795145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMMI HUA PHARMD

Provider Business Mailing Address
First Line	:	16225 W SHANGRI LA RD
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-4792
Country	:	US
Telephone Number	:	626-371-3717
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 E COVEY LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85024-5674
Country	:	US
Telephone Number	:	623-815-8965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	09/19/2023

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