Individual
PAUL HANBO CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(310) 414-7308
Mailing address
4430 MISSOURI AVE, BOX 1267, ATTN: DQS-CR, FORT LEONARD WOOD, MO 65473
(310) 414-7308
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
15414
NE
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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