Provider Demographics
NPI:1528375318
Name:TSAI, ESTHER ENJU (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:ENJU
Last Name:TSAI
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 1:25710 BARTON RD
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3874
Mailing Address - Country:US
Mailing Address - Phone:909-799-0591
Mailing Address - Fax:
Practice Address - Street 1:25710 BARTON RD
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3874
Practice Address - Country:US
Practice Address - Phone:909-799-0591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist