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Individual
ETHAN NORIN CHAN
Active
Individual
ETHAN NORIN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1003805
MA
183700000X
Pharmacy Technician
PTT15131
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PCI.0010039
CT
390200000X
Student in an Organized Health Care Education/Training Program
PI167939
MA
Other
Enumeration date
05/20/2022
Last updated
07/21/2026
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