Individual
GRACIEL CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
7090 N 5TH ST, NORTH LAS VEGAS, NV 89084-1333
(702) 216-4502
Mailing address
6708 STONETRACE ST, LAS VEGAS, NV 89148-5094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19959
NV
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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