=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265733729
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JUNE TOR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2010
-----------------------------------------------------
Last Update Date | 09/13/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 EL CAMINO REAL
-----------------------------------------------------
City | SOUTH SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94080-1206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-757-3002
-----------------------------------------------------
Fax | 650-757-3009
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1600 EL CAMINO REAL
-----------------------------------------------------
City | SOUTH SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94080-1206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-757-3002
-----------------------------------------------------
Fax | 650-757-3009
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 45606
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------