Individual
AENEAS CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
9 DEPOT ST UNIT 5, COLFAX, CA 95713-1390
(530) 346-1004
Mailing address
PO BOX 1390, COLFAX, CA 95713-1390
(530) 346-1004
(530) 346-1006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48380
CA
1835P1200X
Pharmacotherapy Pharmacist
48380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57143
STATE BOARD OF PHARMACY
CA
Enumeration date
07/02/2007
Last updated
08/23/2019
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