Provider Demographics
NPI:1922380062
Name:JIANG, TSAI (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:TSAI
Middle Name:
Last Name:JIANG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 S EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-3124
Mailing Address - Country:US
Mailing Address - Phone:650-697-3970
Mailing Address - Fax:
Practice Address - Street 1:45 S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-3124
Practice Address - Country:US
Practice Address - Phone:650-697-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist