Johnny Chung-Yin Chan

NPI #1063796647 in Las Vegas, Nevada

Provider Information

NPI Number: 1063796647
Entity Type: Individual
Name: Johnny Chung-Yin Chan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 30, 2011
Last Updated: Sep 30, 2011

Practice Location

Address: 6001 W CHEYENNE AVE
City: Las Vegas
State: Nevada
ZIP Code: 89108-4205
Phone: (702) 396-0917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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