TRACEY DIEP PHAM

TEMPE, AZ
NPI1972724789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  14585)
Additional Taxonomies183500000X Pharmacist
(Licence: HI  PH-1749)
183500000X Pharmacist
(Licence: CA  RPH-48404)
183500000X Pharmacist
(Licence: NV  12451)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- TRACEY DIEP PHAM PharmD
51 WEST 3RD STREET SUITE 501
TEMPE, AZ 85281
Phone number: 480-317-6780
Mailing Address
-- TRACEY DIEP PHAM PharmD
2524 W. MINTON STREET
PHOENIX, AZ 85041
Phone number: 702-612-3949