Provider Demographics
NPI:1710067764
Name:FOO, EMILY C (PHARM D)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:FOO
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 1:4724 CIELO VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-1446
Mailing Address - Country:US
Mailing Address - Phone:408-249-7538
Mailing Address - Fax:
Practice Address - Street 1:4724 CIELO VISTA WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-1446
Practice Address - Country:US
Practice Address - Phone:408-249-7538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA354541835N1003X
CA354521835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy