Provider Demographics
NPI:1972887057
Name:LAU, ANDREW YAU-TUNG (DROF PHARMACY)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:YAU-TUNG
Last Name:LAU
Suffix:
Gender:M
Credentials:DROF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 GABRIEL CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-8351
Mailing Address - Country:US
Mailing Address - Phone:510-849-4691
Mailing Address - Fax:510-849-5460
Practice Address - Street 1:2187 SHATTUCK AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1308
Practice Address - Country:US
Practice Address - Phone:510-849-4691
Practice Address - Fax:510-849-5460
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32632183500000X
OK8945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist