Healthcare Provider Details

I. General information

NPI: 1215222435
Provider Name (Legal Business Name): TSUNG-CHI LIEN M.S., PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO ST
FRESNO CA
93721-1324
US

IV. Provider business mailing address

6800 N MAPLE AVE APT 134
FRESNO CA
93710-4553
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-2013
  • Fax:
Mailing address:
  • Phone: 319-400-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number61278
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: