Provider Demographics
NPI:1114364841
Name:LIM-FUNG, BARBARA ANNE (RPH)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANNE
Last Name:LIM-FUNG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 VALLEJO ST
Mailing Address - Street 2:#A
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4018
Mailing Address - Country:US
Mailing Address - Phone:415-986-2204
Mailing Address - Fax:415-986-2204
Practice Address - Street 1:570 VALLEJO ST
Practice Address - Street 2:#A
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4018
Practice Address - Country:US
Practice Address - Phone:415-986-2204
Practice Address - Fax:415-986-2204
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH30131183500000X
NV06724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist