Individual
ANDREA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-6491
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-6491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71118
BOARD OF PHARMACY
CA
Enumeration date
08/27/2014
Last updated
08/27/2014
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