Provider Demographics
NPI:1770824633
Name:CHIN, JANE H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:H
Last Name:CHIN
Suffix:
Gender:F
Credentials:PHARMD
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Other - Credentials:
Mailing Address - Street 1:1425 S MAIN ST
Mailing Address - Street 2:KAISER HOSPITAL OP PEDIATRIC PHARMACY
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596
Mailing Address - Country:US
Mailing Address - Phone:925-295-5969
Mailing Address - Fax:925-295-5437
Practice Address - Street 1:1425 S MAIN ST.
Practice Address - Street 2:KAISER HOSPITAL OP PEDIATRIC PHARMACY
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596
Practice Address - Country:US
Practice Address - Phone:925-295-5969
Practice Address - Fax:925-295-5437
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA30389183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist