Provider Demographics
NPI:1255753661
Name:CHUI, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:CHUI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 VISTA DE MADERA
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-7934
Mailing Address - Country:US
Mailing Address - Phone:503-953-3928
Mailing Address - Fax:
Practice Address - Street 1:3240 VISTA DE MADERA
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-7934
Practice Address - Country:US
Practice Address - Phone:503-953-3928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist