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MATTHEW R CHAO

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1831799345

Individual Registrant:
 MATTHEW R CHAO 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
455 CENTER ST  HEALDSBURG, CA 95448-3807 US
Tel: 707-433-3357  Fax: --

Contact information for business:
4145 SHADOW LN APT 527  SANTA ROSA, CA 95405-5255 US
Tel: 510-825-5708  Fax: --

Registration Information:
NPI: 1831799345
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA83011

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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