Provider Demographics
NPI:1184611543
Name:TCHING, BRUNO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRUNO
Middle Name:
Last Name:TCHING
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E LATHAM AVE P
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4435
Mailing Address - Country:US
Mailing Address - Phone:951-658-7111
Mailing Address - Fax:
Practice Address - Street 1:1001 E LATHAM AVE
Practice Address - Street 2:INLAND PHARMACY INC.
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4435
Practice Address - Country:US
Practice Address - Phone:951-658-7111
Practice Address - Fax:951-658-7113
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist