Healthcare Provider Details

I. General information

NPI: 1003744210
Provider Name (Legal Business Name): SKAI MINDY FU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DUARTE RD
DUARTE CA
91010-3012
US

IV. Provider business mailing address

5755 PRIMROSE AVE
TEMPLE CITY CA
91780-2508
US

V. Phone/Fax

Practice location:
  • Phone: 626-500-5461
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91417
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: