Dr Chandaly Sovan, PHARMD in South Bend, IN - Pharmacist

Dr Chandaly Sovan, PHARMD is a Pharmacist based in South Bend, Indiana. Dr Chandaly Sovan is licensed to practice in Indiana (license number 26028352A) and her current practice location is 1400 E Ireland Rd, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 231-8258.

NPI number for Dr Chandaly Sovan is 1013524453 and her current mailing address is 1400 E Ireland Rd, South Bend, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013524453.

Contact Information

	Dr Chandaly Sovan, PHARMD
	1400 E Ireland Rd, South Bend, IN 46614-3452
	(574) 231-8258
	Not Available

Healthcare Provider's Profile

Full Name	Dr Chandaly Sovan
Gender	Female
Speciality	Pharmacist
Location	1400 E Ireland Rd, South Bend, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1013524453
Provider Enumeration Date: 09/29/2020
Last Update Date: 09/29/2020

Medical Identifiers

Medical identifiers for Dr Chandaly Sovan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013524453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	26028352A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chandaly Sovan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Chandaly Sovan, PHARMD 1400 E Ireland Rd, South Bend, IN 46614-3452 Ph: () -	Dr Chandaly Sovan, PHARMD 1400 E Ireland Rd, South Bend, IN 46614-3452 Ph: (574) 231-8258

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Pharmacist in South Bend, IN

Andrea Szostek-krupa, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2210 Edison Rd, South Bend, IN 46615 Phone: 574-472-3239
Dr. Justin Mcmenamy, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1351 N Ironwood Dr, South Bend, IN 46615 Phone: 574-234-5036
Dr. Allison R Tucker, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 801 E Lasalle Ave, South Bend, IN 46617 Phone: 574-237-7303 Fax: 574-236-5005
Andrea Cover, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4403 W Western Ave, South Bend, IN 46619 Phone: 574-234-3241
Dr. Janice Marie Bopp, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 426 N Michigan St, South Bend, IN 46601 Phone: 574-234-3184 Fax: 574-289-1940
Diane Galvas, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1217 E. Ireland Rd., South Bend, IN 46614 Phone: 574-291-0740

Dr Chandaly Sovan, PHARMD - Pharmacist in South Bend, IN