Provider Demographics
NPI:1457641649
Name:LOUIE, RICHARD JERNG WAI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JERNG WAI
Last Name:LOUIE
Suffix:
Gender:M
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 1:7 VIEW TER
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-2916
Mailing Address - Country:US
Mailing Address - Phone:650-697-3368
Mailing Address - Fax:
Practice Address - Street 1:777 E EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2919
Practice Address - Country:US
Practice Address - Phone:408-738-0595
Practice Address - Fax:408-738-2543
Is Sole Proprietor?:No
Enumeration Date:2011-04-09
Last Update Date:2011-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist