Individual
JASON CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
261 S MOSS HILL DR, BOUNTIFUL, UT 84010-1361
(801) 840-4350
(801) 840-4357
Mailing address
261 S MOSS HILL DR, BOUNTIFUL, UT 84010-1361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5811978-1701
UT
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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