Provider Demographics
NPI:1891094645
Name:CHI, MONICA HAN-YAN LUI (PHARMD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:HAN-YAN LUI
Last Name:CHI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17194 PRESTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1225
Mailing Address - Country:US
Mailing Address - Phone:972-931-9371
Mailing Address - Fax:972-931-6891
Practice Address - Street 1:17194 PRESTON RD STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1225
Practice Address - Country:US
Practice Address - Phone:972-931-9371
Practice Address - Fax:972-931-6891
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2020-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16946183500000X
TX407281835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist