Provider Demographics
NPI:1780216572
Name:RHEE, HAN SAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HAN SAM
Middle Name:
Last Name:RHEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38868 THIMBLEBERRY PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-4862
Mailing Address - Country:US
Mailing Address - Phone:224-678-8169
Mailing Address - Fax:
Practice Address - Street 1:987 E HILLSDALE BLVD
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-2112
Practice Address - Country:US
Practice Address - Phone:650-570-4693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist