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NPI Code Detail

MEDICARE: YICHIH PENG PHARM.D.

MEDICARE:   YICHIH  PENG  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
1183500000XPharmacist49275CA

General Provider Information

NPI Number : 1548318231
Entity Type Code : Individual
Provider Name (Legal Business Name) : YICHIH PENG PHARM.D.
Provider Business Mailing Address
First Line : 1949 JACKSON ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109
Country : US
Telephone Number : 510-752-5633
Fax Number :
Provider Business Practice Location Address
First Line : 1949 JACKSON ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109
Country : US
Telephone Number : 510-752-5633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/08/2007

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Directions to “ YICHIH PENG PHARM.D.” Practice Location

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