Individual
GAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4315 6TH AVE, TACOMA, WA 98406-4014
(206) 903-8392
Mailing address
7445 W MERCER WAY, MERCER ISLAND, WA 98040-5536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61460816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH61460816
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
11/28/2019
Last updated
04/04/2024
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