Provider Demographics
NPI:1417545989
Name:CHAI, HWA CHEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HWA CHEN
Middle Name:
Last Name:CHAI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PATRIOT PKWY APT 209
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-0025
Mailing Address - Country:US
Mailing Address - Phone:859-420-5270
Mailing Address - Fax:
Practice Address - Street 1:704 CENTRE ST
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2516
Practice Address - Country:US
Practice Address - Phone:617-524-4714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA238833183500000X
KY013734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist