Individual
MARIO CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1645 E 103RD ST, LOS ANGELES, CA 90002-2923
(323) 564-5787
Mailing address
1165 MEDFORD RD, PASADENA, CA 91107-1703
(626) 510-6779
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
43011
CA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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