Provider Demographics
NPI:1518261650
Name:CHIU, TIMOTHY JAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:JAY
Last Name:CHIU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 SAND CREEK RD
Mailing Address - Street 2:ONCOLOGY/INFUSION CLINIC, MOB 4TH FLOOR
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8687
Mailing Address - Country:US
Mailing Address - Phone:925-813-3959
Mailing Address - Fax:925-813-3952
Practice Address - Street 1:4501 SAND CREEK RD
Practice Address - Street 2:ONCOLOGY/INFUSION CLINIC, MOB 4TH FLOOR
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8687
Practice Address - Country:US
Practice Address - Phone:925-813-3959
Practice Address - Fax:925-813-3952
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist