Individual
DAN MCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPHPHD
Contact information
Practice address
103 E BROADWAY, BOLIVAR, MO 65613-1621
(417) 326-7666
(417) 777-8073
Mailing address
103 E BROADWAY, BOLIVAR, MO 65613-1621
(417) 326-7666
(417) 777-8073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600135305
—
MO
Enumeration date
10/06/2006
Last updated
05/06/2008
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