MEDICARE: DR. SHERRY LIN FUNG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	51695	CA

General Provider Information

NPI Number	:	1568762193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERRY LIN FUNG PHARMD

Provider Business Mailing Address
First Line	:	4950 MISSION STREET
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112
Country	:	US
Telephone Number	:	415-239-8010
Fax Number	:	415-239-8066

Provider Business Practice Location Address
First Line	:	4950 MISSION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-3416
Country	:	US
Telephone Number	:	415-239-8010
Fax Number	:	415-239-8066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2010
Last Update Date	:	10/29/2010

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