Individual
DR. JESSICA M. LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, APH, BCCCP
Contact information
Practice address
590 NORTH VERMONT AVENUE, SUITE 334, LOS ANGELES, CA 90004
(209) 683-4009
Mailing address
18336 SOLEDAD CANYON RD UNIT 1684, CANYON COUNTRY, CA 91386-7041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
69174
CA
1835C0205X
Critical Care Pharmacist
7150304
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10114
CA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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