Provider Demographics
NPI:1629359047
Name:TIEN, PAMELA G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:G
Last Name:TIEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 TASMAN DR #508
Mailing Address - Street 2:
Mailing Address - City:SUNNVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94089
Mailing Address - Country:US
Mailing Address - Phone:408-828-6076
Mailing Address - Fax:
Practice Address - Street 1:450 STANYAN ST.
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117
Practice Address - Country:US
Practice Address - Phone:415-750-5717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA641111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist