MEDICARE: MR. WARREN CHEEWAH CHOW RPH

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	RPH31817	CA

General Provider Information

NPI Number	:	1790858736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WARREN CHEEWAH CHOW RPH

Provider Business Mailing Address
First Line	:	1395 VANDYKE RD
Second Line	:
City	:	SAN MARINO
State	:	CA
Zip	:	91108-2746
Country	:	US
Telephone Number	:	626-286-2832
Fax Number	:

Provider Business Practice Location Address
First Line	:	5546 ROSEMEAD BLVD
Second Line	:	#101
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-1845
Country	:	US
Telephone Number	:	626-285-6838
Fax Number	:

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

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	07/08/2007

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