Healthcare Provider Details

I. General information

NPI: 1447819149
Provider Name (Legal Business Name): BILLY LAU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 11/24/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 LENNON LN
WALNUT CREEK CA
94598-2414
US

IV. Provider business mailing address

1962 QUESADA AVE
SAN FRANCISCO CA
94124-2008
US

V. Phone/Fax

Practice location:
  • Phone: 925-926-7557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67593
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: