Doctor Name: | SAN NGOC TA |
NPI Number: | 1073978482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RPH0015000 |
Business Practice Address: | 13181 Crossroads Pkwy N Suite 200 City Of Industry, CA - 917463419 |
Business Phone Number: | 3232615866 |
Business Fax Number: | |
Mailing Address: | 2395 E Omaha Avenue, FRESNO |
State: | CA |
Postal Code: | 937204247 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/30/2015 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | RPH0015000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |