Individual
STEVE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
051-288994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051-288994
STATE OF ILLINOIS LICENSED PHARMACIST
IL
Enumeration date
03/30/2017
Last updated
03/30/2017
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