Healthcare Provider Details

I. General information

NPI: 1265187546
Provider Name (Legal Business Name): FRANK CHU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2022
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ARBOR DR # 8765
SAN DIEGO CA
92103-1911
US

IV. Provider business mailing address

200 W ARBOR DR # 8765
SAN DIEGO CA
92103-1911
US

V. Phone/Fax

Practice location:
  • Phone: 619-471-0578
  • Fax:
Mailing address:
  • Phone: 619-471-0578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number57151
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: