MEDICARE: DR. CHRISTOPHER KWANG HAN 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	1769890	NC

General Provider Information

NPI Number	:	1366736910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER KWANG HAN PHARM.D.

Provider Business Mailing Address
First Line	:	9531 SOUTH BLVD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6901
Country	:	US
Telephone Number	:	704-206-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9531 SOUTH BLVD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6901
Country	:	US
Telephone Number	:	704-206-0200
Fax Number	:

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

Provider Enumeration Date	:	05/31/2011
Last Update Date	:	05/31/2011

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