Individual
JOHNNY CHUNG-YIN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6001 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 396-0917
Mailing address
9926 RIDGE HILL AVE, LAS VEGAS, NV 89147-8411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17279
NV
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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