Provider Demographics
NPI:1639455157
Name:KING, ROSE TZU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:TZU
Last Name:KING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ROSE
Other - Middle Name:TZE
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 1046
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91077-1046
Mailing Address - Country:US
Mailing Address - Phone:626-710-8988
Mailing Address - Fax:
Practice Address - Street 1:725 W DUARTE RD # DD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7521
Practice Address - Country:US
Practice Address - Phone:626-710-8988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 043228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist