Individual
DIANA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
221 MAIN ST, ENOSBURG FALLS, VT 05450-6109
(802) 933-7756
Mailing address
216 JAMES RD, CORNWALL, VT 05753-8648
(503) 970-4144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0330134180
VT
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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