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Individual

MICHAEL CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, RPH

Contact information

Practice address
1249 BOYLSTON ST, BOSTON, MA 02215-3417
(617) 264-3000
(617) 264-3011
Mailing address
10 BARKER ST, BRIGHTON, MA 02135-2103
(508) 243-4360

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235991
MA

Other

Enumeration date
09/21/2015
Last updated
09/21/2015
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