Provider Demographics
NPI:1376861161
Name:TZE, KEVIN KI CHIU (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:KI CHIU
Last Name:TZE
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 LAVER ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-9558
Mailing Address - Country:US
Mailing Address - Phone:530-710-2625
Mailing Address - Fax:
Practice Address - Street 1:1515 DANA DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-4014
Practice Address - Country:US
Practice Address - Phone:530-221-3166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 61582183500000X
ORRPH-0011276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist