Healthcare Provider Details

I. General information

NPI: 1114004173
Provider Name (Legal Business Name): TAMMY LAW PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 GEARY BLVD STE 112
SAN FRANCISCO CA
94118-3101
US

IV. Provider business mailing address

4131 GEARY BLVD STE 112
SAN FRANCISCO CA
94118-3101
US

V. Phone/Fax

Practice location:
  • Phone: 650-301-5799
  • Fax: 650-301-5790
Mailing address:
  • Phone: 650-301-5799
  • Fax: 650-301-5790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number052051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: