CHAYSEN CHONG
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1174110472- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 260 W HONEYSUCKLE AVE, HAYDEN, ID, 838359270
- Phone
- (208) 762-0185
Specialties & Taxonomies
Pharmacist
Primary License: ID #P8724