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Individual
COLLIN CHAN
Active
Individual
COLLIN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18113-40
WI
183500000X
Pharmacist
Primary
73994
CA
Other
Enumeration date
10/14/2016
Last updated
12/17/2021
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