Chaysen Chong

NPI #1174110472 in Hayden, Idaho

Provider Information

NPI Number: 1174110472
Entity Type: Individual
Name: Chaysen Chong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 21, 2020
Last Updated: Dec 21, 2020

Practice Location

Address: 260 W HONEYSUCKLE AVE
City: Hayden
State: Idaho
ZIP Code: 83835-9270
Phone: (208) 762-0185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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