Healthcare Provider Details
I. General information
NPI: 1205910437
Provider Name (Legal Business Name): ARTHUR HERBERT LIM PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/24/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2111 UNIVERSITY AVE
EAST PALO ALTO CA
94303-1715
US
IV. Provider business mailing address
177 KIELY BLVD
SANTA CLARA CA
95051-7045
US
V. Phone/Fax
- Phone: 650-321-1449
- Fax: 650-321-5977
- Phone: 408-984-2132
- Fax: 650-321-5977
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RPH28132 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: