Individual
SIMON CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
210 N MAIN ST, MISHAWAKA, IN 46544-1411
(574) 259-1130
(574) 257-7920
Mailing address
210 N MAIN ST, MISHAWAKA, IN 46544-1411
(574) 259-1130
(574) 257-7920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029183A
IN
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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