Healthcare Provider Details

I. General information

NPI: 1730496225
Provider Name (Legal Business Name): CATHY W HAU PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EL CAMINO REAL INPATIENT PHARMACY 3RD FLOOR TOWER
SOUTH SAN FRANCISCO CA
94080-3208
US

IV. Provider business mailing address

315 SANTA LUCIA AVE
MILLBRAE CA
94030-1238
US

V. Phone/Fax

Practice location:
  • Phone: 650-742-2486
  • Fax: 650-742-2632
Mailing address:
  • Phone: 650-837-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number63933
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: