Phat Dai Tai Llc
Community/Retail Pharmacy
2222 E Highland Ave Ste 102, Phoenix
Arizona, 85016-4874
623-535-5822 623-535-9711
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.