Provider Demographics
NPI:1336604974
Name:CHEN, FRANK CH (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:CH
Last Name:CHEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 SAN LUIS REY RD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-2735
Mailing Address - Country:US
Mailing Address - Phone:626-447-6238
Mailing Address - Fax:
Practice Address - Street 1:512 SAN LUIS REY RD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-2735
Practice Address - Country:US
Practice Address - Phone:626-447-6238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH80214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist