Provider Demographics
NPI:1255632527
Name:NG, ROSALYN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROSALYN
Middle Name:
Last Name:NG
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 1:208 SIERRA VISTA AVE
Mailing Address - Street 2:APT B
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-4318
Mailing Address - Country:US
Mailing Address - Phone:310-940-1525
Mailing Address - Fax:
Practice Address - Street 1:208 SIERRA VISTA AVE
Practice Address - Street 2:APT B
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-4318
Practice Address - Country:US
Practice Address - Phone:310-940-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist