Basic Information
Provider Information
NPI: 1174724934
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSAI
FirstName: PEI-CHING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 141 N CIVIC DR
Address2:  
City: WALNUT CREEK
State: CA
PostalCode: 945963815
CountryCode: US
TelephoneNumber: 9252106659
FaxNumber: 9252106606
Practice Location
Address1: 2270 HOONEE PL
Address2:  
City: HONOLULU
State: HI
PostalCode: 968192214
CountryCode: US
TelephoneNumber: 8088411039
FaxNumber: 8088416850
Other Information
ProviderEnumerationDate: 05/30/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X2548HIY Pharmacy Service ProvidersPharmacist 

No ID Information.


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