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NPI Code Detail

MEDICARE: DR. RICHARD JERNG WAI LOUIE PHARM D

MEDICARE: DR. RICHARD JERNG WAI LOUIE 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
1183500000XPharmacist30614CA

General Provider Information

NPI Number : 1457641649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD JERNG WAI LOUIE PHARM D
Provider Business Mailing Address
First Line : 7 VIEW TER
Second Line :
City : MILLBRAE
State : CA
Zip : 94030-2916
Country : US
Telephone Number : 650-697-3368
Fax Number :
Provider Business Practice Location Address
First Line : 777 E EL CAMINO REAL
Second Line :
City : SUNNYVALE
State : CA
Zip : 94087-2919
Country : US
Telephone Number : 408-738-0595
Fax Number : 408-738-2543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2011
Last Update Date : 04/09/2011

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