Individual
ALICE PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4226
(984) 974-7761
Mailing address
522 WINDWOOD RD, BALTIMORE, MD 21212-2107
(270) 791-6355
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
26009
NC
1835P2201X
Ambulatory Care Pharmacist
Primary
26009
NC
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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