| Doctor Name: | DR. EDMOND CHIN |
| NPI Number: | 1255454492 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARM.D. |
| License Number: | 330101051152863 |
| Business Practice Address: | 401 W College Ave Apt 17 Ada, OH - 458101399 |
| Business Phone Number: | 6143141889 |
| Business Fax Number: | |
| Mailing Address: | 14525 Sw Millikan Way, #12322 BEAVERTON |
| State: | OR |
| Postal Code: | 97005 |
| Phone Number: | 6143141889 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 03/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 330101051152863 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |