Most Relevant Information
Provider Data
NPI Number: | 1003466434 |
Provider Name: | DONG MI CHA PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 80783 |
Most Important Dates
Enumeration Date: | 09/17/2019 |
Last Updated: | 11/22/2021 |
Provider Practice Location
777 TURNER DR STE 330
SAN JOSE
CA
95128
Practice Location Phone/Fax
Phone: | 4088852300 |
Fax: |
Provider Mailing Location
3240 ARDEN WAY
SACRAMENTO
CA
958252015
Provider Mailing Phone/Fax
Phone: | |
Fax: |