Provider Demographics
NPI:1912038894
Name:CHEN, CHIHWEI (PHARM D)
Entity Type:Individual
Prefix:
First Name:CHIHWEI
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERSECTION HIGHWAYS N12 & N7
Mailing Address - Street 2:FORT DEFIANCE HOSPITAL
Mailing Address - City:FORT DEFIANCE
Mailing Address - State:AZ
Mailing Address - Zip Code:86504-0649
Mailing Address - Country:US
Mailing Address - Phone:928-729-8327
Mailing Address - Fax:
Practice Address - Street 1:INTERSECTION HIGHWAYS N12 & N7
Practice Address - Street 2:FORT DEFIANCE HOSPITAL
Practice Address - City:FORT DEFIANCE
Practice Address - State:AZ
Practice Address - Zip Code:86504-0649
Practice Address - Country:US
Practice Address - Phone:928-729-8327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist