MEDICARE: XUAN THAO THI DO RPH

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	64780	CA

General Provider Information

NPI Number	:	1871880625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XUAN THAO THI DO RPH

Provider Business Mailing Address
First Line	:	PO BOX 10817
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92685-0817
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1237 W CARSON ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-2009
Country	:	US
Telephone Number	:	310-320-4534
Fax Number	:

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

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	06/30/2011

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Directions to “ XUAN THAO THI DO RPH” Practice Location

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