Provider Demographics
NPI:1457902843
Name:LUI, KIMBERLY TZE-JAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:TZE-JAY
Last Name:LUI
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 1:1532 WYNNEMOOR WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2829
Mailing Address - Country:US
Mailing Address - Phone:215-237-7711
Mailing Address - Fax:
Practice Address - Street 1:1532 WYNNEMOOR WAY
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2829
Practice Address - Country:US
Practice Address - Phone:215-237-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist