MEDICARE: CHRISTINE LEE CHIU 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
1	183500000X	Pharmacist	41221	CA

General Provider Information

NPI Number	:	1487513214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE LEE CHIU PHARMD

Provider Business Mailing Address
First Line	:	5143 RENAISSANCE AVE UNIT A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-5565
Country	:	US
Telephone Number	:	619-871-5115
Fax Number	:

Provider Business Practice Location Address
First Line	:	5143 RENAISSANCE AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-6032
Country	:	US
Telephone Number	:	619-871-5115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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