Provider Demographics
NPI:1477823045
Name:CHAN, PAULINE WAI-SZE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PAULINE WAI-SZE
Middle Name:
Last Name:CHAN
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 1:3760 PALOS VERDES WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5226
Mailing Address - Country:US
Mailing Address - Phone:415-205-7366
Mailing Address - Fax:
Practice Address - Street 1:3760 PALOS VERDES WAY
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5226
Practice Address - Country:US
Practice Address - Phone:415-205-7366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH66079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist