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Dr. Chi Ming Chan, PharmD

Pharmacist in Bonney Lake, WA. Individual provider (NPI-1).

NPI number1487101994
StatusActive
Last updated in NPPESSep 1, 2016

Details

NPI
1487101994
Entity type
Individual (NPI-1)
Name
Dr. Chi Ming Chan
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 1, 2016
Last updated
Sep 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPH60662646WAYes

Practice location

10004 204th Ave E
#1100
Bonney Lake, WA 98391-6539

Phone 253-447-3355

Mailing address

10004 204th Ave E
#1100
Bonney Lake, WA 98391-6539

Phone 253-447-3355

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