Healthcare Provider Details

I. General information

NPI: 1659869782
Provider Name (Legal Business Name): ALICE CHIU PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 BALDWIN PARK BLVD FL 1
BALDWIN PARK CA
91706-5806
US

IV. Provider business mailing address

1011 BALDWIN PARK BLVD FL 1
BALDWIN PARK CA
91706-5806
US

V. Phone/Fax

Practice location:
  • Phone: 866-319-4249
  • Fax:
Mailing address:
  • Phone: 866-319-4249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number75561
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: