Individual ProviderPhilip ChanPharmacistPharmacy Service ProvidersPractice Address521 Parnassus Ave, Dept Of Clin Pharm, C152, Box 0622, San Francisco, CA 94143-2206(415) 502-6429PECOS EnrollmentBased on the most recent information from CMS, provider Philip Chan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770869562Provider TypeIndividualFull NameChan, PhilipCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date10/25/2011Last Updated10/25/2011Contact InformationPractice LocationPractice Address521 Parnassus Ave, Dept Of Clin Pharm, C152, Box 0622, San Francisco, CA 94143-2206Phone(415) 502-6429FaxUnlisted FaxMailing LocationMailing Address387 Haight St, San Francisco, CA 94102-6128Phone(415) 502-6429FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense59901California