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Individual
DR. VIVIAN LY
Active
Individual
DR. VIVIAN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH56013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH56013
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
08/31/2011
Last updated
02/26/2020
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