Provider Demographics
NPI:1790858736
Name:CHOW, WARREN CHEEWAH (RPH)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:CHEEWAH
Last Name:CHOW
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 VANDYKE RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-2746
Mailing Address - Country:US
Mailing Address - Phone:626-286-2832
Mailing Address - Fax:
Practice Address - Street 1:5546 ROSEMEAD BLVD
Practice Address - Street 2:#101
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-1845
Practice Address - Country:US
Practice Address - Phone:626-285-6838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH31817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist