IndividualActive
Jackie Phan, PHARMACIST
NPI 1043193394 · Pharmacist · Peoria, AZ
Jackie Phan, PHARMACIST is a Pharmacist provider in Peoria, AZ (NPI 1043193394).
Provider details
- NPI number
- 1043193394
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMACIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- S010547 (AZ)
Practice location
6750 W Thunderbird Rd
Peoria, AZ 85381-5026
Phone: (623) 209-0870
Street-level locationGet directions
Mailing address
19801 N 59th Ave Unit 10127
Glendale, AZ 85318-5007
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.