Wayne Kan, RPH
Pharmacist in Indio, CA. Individual provider (NPI-1).
NPI number1013662865
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1013662865
- Entity type
- Individual (NPI-1)
- Name
- Wayne Kan
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2022
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 30545 | CA | Yes |
Practice location
81893 Dr Carreon Blvd Ste 7Indio, CA 92201-5592
Phone 760-347-0659 · Fax 760-347-5972
Mailing address
81893 Dr Carreon Blvd Ste 7Indio, CA 92201-5592
Phone 760-347-0659 · Fax 760-347-5972
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