Healthcare Provider Details

I. General information

NPI: 1669110334
Provider Name (Legal Business Name): BRIGHT HEART HEALTH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 05/23/2022
Certification Date: 05/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 CAMINO DIABLO STE 105
WALNUT CREEK CA
94597-3945
US

IV. Provider business mailing address

2960 CAMINO DIABLO STE 105
WALNUT CREEK CA
94597-3945
US

V. Phone/Fax

Practice location:
  • Phone: 800-892-2695
  • Fax: 415-458-2691
Mailing address:
  • Phone: 800-892-2695
  • Fax: 415-458-2691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: YUNWEN CHIU
Title or Position: DIRECTOR OF PHARMACY SERVICES
Credential: PHARMD
Phone: 415-458-2688