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Individual

DR. CHANDALY SOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1400 E IRELAND RD, SOUTH BEND, IN 46614-3452
(574) 231-8258
Mailing address
1400 E IRELAND RD, SOUTH BEND, IN 46614-3452

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028352A
IN

Other

Enumeration date
09/29/2020
Last updated
09/29/2020
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