Individual
RICKY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 D MARK CUMMINGS RD, HARDEEVILLE, SC 29927-4447
(843) 208-2870
Mailing address
100 TOWN CENTER DR APT 5101, GARDEN CITY, GA 31405-9564
(267) 693-7999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43182
SC
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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