Individual
CYNTHIA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
55 RUSSELL ST, WALTHAM, MA 02453-8517
(781) 642-7416
Mailing address
55 RUSSELL ST, WALTHAM, MA 02453-8517
(781) 642-7416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25882
MA
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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