Individual
DR. MICHAEL CANSINO CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
RR 2 BOX 1AA, 1490 EAST MAIN ST, HARRISVILLE, WV 26362-9602
(304) 643-2902
(304) 643-2834
Mailing address
RR 2 BOX 1AA, 1490 EAST MAIN ST, HARRISVILLE, WV 26362-9602
(304) 643-2902
(304) 643-2834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057281
NY
183500000X
Pharmacist
28RI03327300
NJ
183500000X
Pharmacist
RP007426
WV
Other
Enumeration date
03/21/2011
Last updated
08/23/2013
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