Provider Demographics
NPI:1942339957
Name:CHAU, JOHN C (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:CHAU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:236 OUTLOOK HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-2175
Mailing Address - Country:US
Mailing Address - Phone:415-676-9752
Mailing Address - Fax:650-738-1167
Practice Address - Street 1:5280 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2818
Practice Address - Country:US
Practice Address - Phone:415-668-2041
Practice Address - Fax:415-668-7806
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA47149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist