Individual
TOM KAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 E BULLARD AVE, FRESNO, CA 93710-5299
(559) 261-9888
Mailing address
302 E BULLARD AVE, FRESNO, CA 93710-5299
(559) 261-9888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY57130
CA
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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