Individual
MICHAEL FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3605 BRAINERD RD, CHATTANOOGA, TN 37411-3602
(423) 622-7520
Mailing address
220 CITYGREEN WAY APT 302, CHATTANOOGA, TN 37405-1481
(480) 639-9664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000043251
TN
183500000X
Pharmacist
S024045
AZ
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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