Provider Demographics
NPI:1275013179
Name:HUM, JUSTINE LAI-MEIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JUSTINE
Middle Name:LAI-MEIN
Last Name:HUM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2262 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1508
Mailing Address - Country:US
Mailing Address - Phone:415-255-0101
Mailing Address - Fax:415-255-0201
Practice Address - Street 1:2262 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1508
Practice Address - Country:US
Practice Address - Phone:415-255-0101
Practice Address - Fax:415-255-0201
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77030183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist