Phat Dai Tai Llc is not a DME supplier for medicare equipments and products.
Phat Dai Tai Llc is a Community/Retail Pharmacy in Phoenix, Arizona. It is located at 2222 E Highland Ave Ste 102, Phoenix and it's customer support contact number is 623-535-5822. The authorized person of Phat Dai Tai Llc is Jackie Phan who is Owner of the pharmacy and his contact number is 623-826-7748. Active license number of Phat Dai Tai Llc is Y005332 for Community/Retail Pharmacy in Arizona. Phat Dai Tai Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Phat Dai Tai Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Phat Dai Tai Llc
Type:
Community/Retail Pharmacy
Location:
2222 E Highland Ave Ste 102, Phoenix, Arizona, 85016-4874
Phone:
623-535-5822
Fax:
623-535-9711
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Jackie Phan
Position:
Owner
Contact Number:
623-826-7748
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1053616581
NPI Enumeration Date:
13 Jan, 2011
NPI Last Update On:
13 Jan, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phat Dai Tai Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Y005332
Arizona
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0356938
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13203 W Palo Verde Dr, Litchfield Park, Arizona
Zip:
85340-8356
Phone Number:
623-826-7748
Fax Number:
623-535-9711
Patients can reach Phat Dai Tai Llc at 2222 E Highland Ave Ste 102, Phoenix, Arizona or can call on customer care at 623-535-5822.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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