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NPI Code Detail

MEDICARE: DENISE QUAN PHARMD

MEDICARE: DENISE QUAN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist49854CA

General Provider Information

NPI Number : 1114409687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE QUAN PHARMD
Provider Business Mailing Address
First Line : 77 CREST AVE
Second Line :
City : ALAMO
State : CA
Zip : 94507-2618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1123 S CALIFORNIA BLVD
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94596-4413
Country : US
Telephone Number : 925-933-8353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2018
Last Update Date : 08/31/2018

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Directions to “ DENISE QUAN PHARMD” Practice Location

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