Healthcare Provider Details
I. General information
NPI: 1255677183
Provider Name (Legal Business Name): RICHARD HSIUNG PHARM. D
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/20/2012
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2262 MARKET ST
SAN FRANCISCO CA
94114-1508
US
IV. Provider business mailing address
2262 MARKET ST
SAN FRANCISCO CA
94114-1508
US
V. Phone/Fax
- Phone: 415-255-0101
- Fax: 415-255-0201
- Phone: 415-255-0101
- Fax: 415-255-0201
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RPH 46324 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: