Provider Demographics
NPI:1295071397
Name:TE, GIGI CHI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GIGI
Middle Name:CHI
Last Name:TE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:GIGI
Other - Middle Name:CHI
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:701 RIO RANCHO RD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-7018
Mailing Address - Country:US
Mailing Address - Phone:909-634-3152
Mailing Address - Fax:
Practice Address - Street 1:701 RIO RANCHO RD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-7018
Practice Address - Country:US
Practice Address - Phone:909-634-3152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist