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NPI Code Detail

MEDICARE: MR. KHAI P LY PHARM D.

MEDICARE: MR. KHAI P LY PHARM D.
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
1183500000XPharmacist56967CA

General Provider Information

NPI Number : 1457619553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KHAI P LY PHARM D.
Provider Business Mailing Address
First Line : 2220 BRIDGEPOINTE PKWY
Second Line :
City : FOSTER CITY
State : CA
Zip : 94404-1569
Country : US
Telephone Number : 650-393-2126
Fax Number : 650-235-1022
Provider Business Practice Location Address
First Line : 2220 BRIDGEPOINTE PKWY
Second Line :
City : FOSTER CITY
State : CA
Zip : 94404-1569
Country : US
Telephone Number : 650-393-2126
Fax Number : 650-235-1022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 04/25/2012

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Directions to “ MR. KHAI P LY PHARM D.” Practice Location

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