MEDICARE: LUCIA ZHU

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	78335	CA

General Provider Information

NPI Number	:	1548823123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCIA ZHU

Provider Business Mailing Address
First Line	:	1330 BUSH ST APT 1C
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-5678
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-3009
Country	:	US
Telephone Number	:	508-654-6811
Fax Number	:

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

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	04/18/2019

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Directions to “ LUCIA ZHU ” Practice Location

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