Provider Demographics
NPI:1407106891
Name:TSUI, CORREEN LIWAH (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:CORREEN
Middle Name:LIWAH
Last Name:TSUI
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:PO BOX 1365
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-6365
Mailing Address - Country:US
Mailing Address - Phone:650-580-1723
Mailing Address - Fax:
Practice Address - Street 1:133 SERRAMONTE CTR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2349
Practice Address - Country:US
Practice Address - Phone:650-755-4668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist