Individual
MR. WILLIE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3845 W 4700 S, SALT LAKE CITY, UT 84118-3454
(801) 840-4355
(801) 840-4357
Mailing address
261 S MOSS HILL DR, BOUNTIFUL, UT 84010-1361
(801) 840-4355
(801) 840-4357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
145564-1701
UT
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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