Provider Demographics
NPI:1629139613
Name:LIM, MEOW CHU (RPH)
Entity Type:Individual
Prefix:MS
First Name:MEOW CHU
Middle Name:
Last Name:LIM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 BURNWYCK DR
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546-3704
Mailing Address - Country:US
Mailing Address - Phone:608-752-3477
Mailing Address - Fax:
Practice Address - Street 1:1000 MINERAL POINT AVENUE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2940
Practice Address - Country:US
Practice Address - Phone:608-741-6980
Practice Address - Fax:608-741-6977
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist