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NPI Code Detail

MEDICARE: SOPHANA CHAN CHHIM

MEDICARE: SOPHANA CHAN CHHIM
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
1183500000XPharmacist68032CA

General Provider Information

NPI Number : 1700135878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHANA CHAN CHHIM
Provider Business Mailing Address
First Line : 1919 FULTON AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-1905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1919 FULTON AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-1905
Country : US
Telephone Number : 916-483-5141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 09/05/2012

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Directions to “ SOPHANA CHAN CHHIM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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