Individual provider · Type 1 NPI

Kimberly Phan, PharmD

Pharmacist · Detroit, MI

NPI number 1386568814 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

27423 Parkview Blvd Apt 5209
Warren, MI 48092-3630

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302418948 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1386568814

Kimberly Phan, PharmD's National Provider Identifier is 1386568814, issued on Aug 6, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Detroit, MI. The record was last updated on Aug 6, 2026.