NPI 1194406157

Diana Chan, PHARMD

Practitioner Pharmacist Enosburg Falls, VT

Practice location

Address: 221 Main St, Enosburg Falls, VT 05450-6109
Phone: (802) 933-7756
Mailing address: 216 James Rd, Cornwall, VT 05753-8648

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0330134180 (VT)

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Registry record

NPI: 1194406157
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2023
Record last updated: 31 Jul 2023

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.