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NPI Code Detail

MEDICARE: SAMANTHA CHIEU PHARM.D

MEDICARE: SAMANTHA CHIEU 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
1183500000XPharmacist77639CA

General Provider Information

NPI Number : 1710486097
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA CHIEU PHARM.D
Provider Business Mailing Address
First Line : 1512 S 8TH ST
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-3210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18649 VIA PRINCESSA
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91387-4935
Country : US
Telephone Number : 661-250-2845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2018
Last Update Date : 12/27/2022

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