Chan, Jerome

Chan, Jerome is an individual health care provider with primary practice located at 2101 Vale Rd Ste 100 , San Pablo CA 94806-3844. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Chan, Jerome can be contacted via phone (510) 235-4443.

Contact Information

Primary practice address
2101 Vale Rd Ste 100 San Pablo CA 94806-3844
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 20081 California

Profile Details

NPI number 1588729057
LBN Legal business name Chan, Jerome
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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