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Individual

MITCHELL CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1454
Mailing address
100 KENYON AVE, WAKEFIELD, RI 02879-4216

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05484
RI

Other

Enumeration date
10/02/2015
Last updated
10/02/2015
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