Provider Demographics
NPI:1578750162
Name:TSAO, CHRISSIE G (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:CHRISSIE
Middle Name:G
Last Name:TSAO
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MS
Other - First Name:CHRISSIE
Other - Middle Name:GIALAM
Other - Last Name:TSAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:4131 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3101
Mailing Address - Country:US
Mailing Address - Phone:415-833-3649
Mailing Address - Fax:415-833-3647
Practice Address - Street 1:4131 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3101
Practice Address - Country:US
Practice Address - Phone:415-833-3649
Practice Address - Fax:415-833-3647
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 40638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH 40638OtherBOARD OF PHARMACY