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Individual

MISS CHLOE CHLOE PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5571
Mailing address
13825 31ST DR APT 5J, FLUSHING, NY 11354-2618
(347) 416-2287

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
062268
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062268
LICENSE
NY
Enumeration date
09/01/2017
Last updated
09/01/2017
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