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NPI Code Detail

MEDICARE: JENNY CHAN PHARM D

MEDICARE:   JENNY  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
1183500000XPharmacist053829NY

General Provider Information

NPI Number : 1508188012
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY CHAN PHARM D
Provider Business Mailing Address
First Line : 1511 86TH STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11229
Country : US
Telephone Number : 347-856-8685
Fax Number :
Provider Business Practice Location Address
First Line : 1511 86TH STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4314
Country : US
Telephone Number : 347-856-5679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2010
Last Update Date : 05/16/2011

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Directions to “ JENNY CHAN PHARM D” Practice Location

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