Individual
JASON CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 218-3298
Mailing address
1500 DUARTE RD, DUARTE, CA 91010-3012
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
3155645
CA
1835X0200X
Oncology Pharmacist
Primary
5151191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75557
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
03/30/2019
Last updated
03/30/2019
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