Individual
LI SHAN CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PATH PLZ, JERSEY CITY, NJ 07306-2905
(201) 459-0614
(201) 459-0922
Mailing address
65 MAGNOLIA AVE, JERSEY CITY, NJ 07306-1813
(347) 351-4636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
052471-1
NY
183500000X
Pharmacist
Primary
28RI03041600
NJ
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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