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Individual
MR. TAKKEUNG KENNETH CHAN
Active
Individual
MR. TAKKEUNG KENNETH CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43610
PHARMCIST LICENSE NUMBER
CA
Enumeration date
07/03/2012
Last updated
07/03/2012
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