NPI 1053915264

Cynthia Chan, RPH

Practitioner Pharmacist Waltham, MA

Practice location

Address: 55 Russell St, Waltham, MA 02453-8517
Phone: (781) 642-7416

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH25882 (MA)

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Registry record

NPI: 1053915264
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2020
Record last updated: 28 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.