Individual
JUSTIN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(516) 986-7485
Mailing address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(516) 986-7485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202223037
VA
1835P2201X
Ambulatory Care Pharmacist
0202223037
VA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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