Healthcare Provider Details

I. General information

NPI: 1700317393
Provider Name (Legal Business Name): LAI LUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DILYS LUI

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 GEARY BLVD FL 1 KAISER FRENCH CAMPUS PHARMACY
SAN FRANCISCO CA
94118-3118
US

IV. Provider business mailing address

4141 GEARY BLVD FL 1 KAISER FRENCH CAMPUS PHARMACY
SAN FRANCISCO CA
94118-3118
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-7892
  • Fax: 415-833-3645
Mailing address:
  • Phone: 415-833-7892
  • Fax: 415-833-3645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: