Individual
MS. SZE WAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
455 S BROADWAY AVE, BOISE, ID 83702-7643
(208) 331-4187
Mailing address
P.O. BOX 389/ 1001 NORTH 2ND STREET, MCCALL, ID 83638
(208) 634-2433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5876
ID
Other
Enumeration date
11/22/2013
Last updated
02/03/2023
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