Provider Demographics
NPI:1669077905
Name:ZAFFERY, PHILLIP CHARLES (BPHARM, RPH)
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:CHARLES
Last Name:ZAFFERY
Suffix:
Gender:M
Credentials:BPHARM, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 E COCONINO DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5462
Mailing Address - Country:US
Mailing Address - Phone:480-250-9616
Mailing Address - Fax:
Practice Address - Street 1:1761 E WARNER RD STE 8
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-4593
Practice Address - Country:US
Practice Address - Phone:480-897-2980
Practice Address - Fax:480-897-2964
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS011327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist