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NPI Code Detail

MEDICARE: KAREN TO THAI PHARMD

MEDICARE: KAREN TO THAI 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
1183500000XPharmacist77304CA

General Provider Information

NPI Number : 1164931127
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN TO THAI PHARMD
Provider Business Mailing Address
First Line : 8472 FELTON CREST WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-4523
Country : US
Telephone Number : 562-489-3174
Fax Number :
Provider Business Practice Location Address
First Line : 2851 DEL PASO RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2304
Country : US
Telephone Number : 916-285-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2017
Last Update Date : 09/21/2017

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Directions to “ KAREN TO THAI PHARMD” Practice Location

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