Individual
SAMANTHA MAE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9420 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 363-5247
Mailing address
9420 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19648
NV
Other
Enumeration date
08/23/2017
Last updated
01/20/2023
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