Individual
DR. MICHAEL CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1525 14TH ST NW, WASHINGTON, DC 20005-3706
(202) 745-6135
Mailing address
4027 BENTON ST NW APT 201, WASHINGTON, DC 20007-1639
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH100002464
DC
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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