Individual
DR. CHI MING CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10004 204TH AVE E, #1100, BONNEY LAKE, WA 98391-6539
(253) 447-3355
Mailing address
10004 204TH AVE E, #1100, BONNEY LAKE, WA 98391-6539
(253) 447-3355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60662646
WA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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