MEDICARE: JOSH CHAN PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	61523	CA

General Provider Information

NPI Number	:	1699925198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSH CHAN PHARM. D.

Provider Business Mailing Address
First Line	:	225 CALIFORNIA DR RM 470
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-4145
Country	:	US
Telephone Number	:	415-353-8188
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 CALIFORNIA DR RM 470
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-4145
Country	:	US
Telephone Number	:	415-819-9517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2008
Last Update Date	:	04/07/2026

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