DR. Chandaly Sovan, PHARM.D.

NPI #1013524453 in South Bend, Indiana

Provider Information

NPI Number: 1013524453
Entity Type: Individual
Name: DR. Chandaly Sovan, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 1400 E IRELAND RD
City: South Bend
State: Indiana
ZIP Code: 46614-3452
Phone: (574) 231-8258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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