Provider Demographics
NPI:1831638741
Name:CHAU, MINH (PHARMD)
Entity Type:Individual
Prefix:
First Name:MINH
Middle Name:
Last Name:CHAU
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 1:9612 LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2108
Mailing Address - Country:US
Mailing Address - Phone:626-309-5052
Mailing Address - Fax:626-309-5042
Practice Address - Street 1:9612 LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-2108
Practice Address - Country:US
Practice Address - Phone:626-309-5052
Practice Address - Fax:626-309-5042
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA555151835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care