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Individual

MR. BANSON C C CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7103
(212) 238-7065
Mailing address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7103
(212) 238-7065

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035751
NY
183500000X
Pharmacist
28R101775400
NJ

Other

Enumeration date
02/17/2010
Last updated
02/17/2010
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