Individual
COURTNEY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 E CITY AVE, BALA CYNWYD, PA 19004-2448
(610) 667-7021
Mailing address
1415 MOORE ST, PHILADELPHIA, PA 19145-2309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP456177
PA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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