MEDICARE: SHU HAN CHEN RPH

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	50941	CA

General Provider Information

NPI Number	:	1063076172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHU HAN CHEN RPH

Provider Business Mailing Address
First Line	:	12113 SARATOGA VILLA PL
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-3023
Country	:	US
Telephone Number	:	408-644-8923
Fax Number	:

Provider Business Practice Location Address
First Line	:	3081 STEVENS CREEK BLVD
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-6704
Country	:	US
Telephone Number	:	408-241-5141
Fax Number	:

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

Provider Enumeration Date	:	04/24/2019
Last Update Date	:	04/24/2019

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Directions to “ SHU HAN CHEN RPH” Practice Location

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