Provider Demographics
NPI:1851544043
Name:LIMB, VIVIAN E (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:E
Last Name:LIMB
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:E
Other - Last Name:LIMB-NG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6823 FAIRCOVE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275
Mailing Address - Country:US
Mailing Address - Phone:310-686-4954
Mailing Address - Fax:310-517-4221
Practice Address - Street 1:6823 FAIRCOVE DR
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-4668
Practice Address - Country:US
Practice Address - Phone:310-686-4954
Practice Address - Fax:310-517-4221
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA043584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist