Healthcare Provider Details

I. General information

NPI: 1326639709
Provider Name (Legal Business Name): MICHAEL A LIM RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2021
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 CASTRO ST
SAN FRANCISCO CA
94114-2020
US

IV. Provider business mailing address

470 CASTRO ST
SAN FRANCISCO CA
94114-2020
US

V. Phone/Fax

Practice location:
  • Phone: 628-777-7323
  • Fax: 844-862-6605
Mailing address:
  • Phone: 628-777-7323
  • Fax: 844-862-6605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number46426
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: