Provider Demographics
NPI:1245765023
Name:TSAI, BERYL SHAUR-JYE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BERYL
Middle Name:SHAUR-JYE
Last Name:TSAI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2606
Mailing Address - Country:US
Mailing Address - Phone:310-370-1021
Mailing Address - Fax:
Practice Address - Street 1:3433 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2606
Practice Address - Country:US
Practice Address - Phone:310-370-1021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist