JACKLEEN FAN

Pharmacist

Active Individual
NPI: 1407337306

Practice Address

4310 WASHINGTON RD
Evans, GA 30809

Phone: (706) 860-4179

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes RPH030830 (GA)

Frequently Asked Questions

NPI 1407337306 is the National Provider Identifier for JACKLEEN FAN, a Pharmacist provider located in Evans, GA. This NPI was enumerated on August 28, 2018.
JACKLEEN FAN practices at 4310 WASHINGTON RD, Evans, GA 30809.

Quick Facts

NPI
1407337306
Type
Individual
Enumerated
Aug 28, 2018
Last Updated
Aug 28, 2018

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