Provider Demographics
NPI:1134142557
Name:CHOW, RAYMOND (PHARMACIST OWNER)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:
Last Name:CHOW
Suffix:
Gender:M
Credentials:PHARMACIST OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9253 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-5423
Mailing Address - Country:US
Mailing Address - Phone:562-949-4238
Mailing Address - Fax:562-949-3098
Practice Address - Street 1:9253 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-5423
Practice Address - Country:US
Practice Address - Phone:562-949-4238
Practice Address - Fax:562-949-3098
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY122700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist