Paul Hanbo Chin, PharmD
Pharmacist, Ambulatory Care in Fort Leonard Wood, MO. Individual provider (NPI-1).
NPI number1982247706
StatusActive
Last updated in NPPESOct 24, 2019
Details
- NPI
- 1982247706
- Entity type
- Individual (NPI-1)
- Name
- Paul Hanbo Chin
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2019
- Last updated
- Oct 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P2201X | Pharmacist, Ambulatory Care | 15414 | NE | Yes |
Practice location
4430 Missouri AveFort Leonard Wood, MO 65473-9098
Phone 310-414-7308
Mailing address
4430 Missouri Ave, Box 1267Attn: Dqs-Cr
Fort Leonard Wood, MO 65473
Phone 310-414-7308
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