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NPI Code Detail

MEDICARE: VIVIAN W LEUNG PHARM.D.

MEDICARE: VIVIAN W LEUNG 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
1183500000XPharmacist60897CA

General Provider Information

NPI Number : 1972886372
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN W LEUNG PHARM.D.
Provider Business Mailing Address
First Line : 3005 MIDWAY DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4502
Country : US
Telephone Number : 619-221-0834
Fax Number : 619-221-0838
Provider Business Practice Location Address
First Line : 3005 MIDWAY DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4502
Country : US
Telephone Number : 619-221-0834
Fax Number : 619-221-0838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ VIVIAN W LEUNG PHARM.D.” Practice Location

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