Provider Demographics
NPI:1235929589
Name:DOAN, SANDY
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:DOAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:
Other - Last Name:DOAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACY TECH
Mailing Address - Street 1:7591 W VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85303-5691
Mailing Address - Country:US
Mailing Address - Phone:623-234-0227
Mailing Address - Fax:
Practice Address - Street 1:15025 N THOMPSON PEAK PKWY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2863
Practice Address - Country:US
Practice Address - Phone:480-551-6429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZT082122183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician