Individual
ANDREW THAK THA YIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1320 LA CRESCENTIA DR, CHULA VISTA, CA 91910-7942
(619) 882-8122
Mailing address
1320 LA CRESCENTIA DR, CHULA VISTA, CA 91910-7942
(619) 882-8122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
81087
CA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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