MEDICARE: SHANG CHEN PHMARMD

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	83727	CA

General Provider Information

NPI Number	:	1073115408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANG CHEN PHMARMD

Provider Business Mailing Address
First Line	:	713 W DUARTE RD UNIT G-745
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-7564
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 MARENGO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-1312
Country	:	US
Telephone Number	:	626-623-3161
Fax Number	:

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

Provider Enumeration Date	:	11/11/2020
Last Update Date	:	07/13/2022

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Directions to “ SHANG CHEN PHMARMD” Practice Location

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