Individual
MICHAEL A LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1599 TIBURON BLVD, TIBURON, CA 94920
(415) 435-3843
Mailing address
1599 TIBURON BLVD, TIBURON, CA 94920
(415) 435-3843
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
46426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3544
PHARMACIST
MT
01
—
46426
PHARMACIST
CA
Enumeration date
01/28/2021
Last updated
01/28/2021
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