Provider Demographics
NPI:1700294493
Name:LAU, KAI CHUNG ANDERSON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAI CHUNG
Middle Name:ANDERSON
Last Name:LAU
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 1:4501 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3051
Mailing Address - Country:US
Mailing Address - Phone:925-734-9024
Mailing Address - Fax:925-734-9044
Practice Address - Street 1:4501 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3051
Practice Address - Country:US
Practice Address - Phone:925-734-9024
Practice Address - Fax:925-734-9044
Is Sole Proprietor?:No
Enumeration Date:2014-07-26
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66811183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist