Healthcare Provider Details

I. General information

NPI: 1811087976
Provider Name (Legal Business Name): CANDY TSOUROUNIS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE ROOM C-152, BOX 0622
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

521 PARNASSUS AVE ROOM C-152, BOX 0622
SAN FRANCISCO CA
94143-2206
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-5091
  • Fax: 415-476-0226
Mailing address:
  • Phone: 415-502-5091
  • Fax: 415-476-0226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number47649
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: