Individual
CHAI VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1113 E CHAMPLAIN DR, FRESNO, CA 93720-4223
(559) 434-2158
Mailing address
1113 E CHAMPLAIN DR, FRESNO, CA 93720-4223
(559) 434-2158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83784
CA
Other
Enumeration date
12/25/2020
Last updated
12/25/2020
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