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LUCY HAEMIN AHN PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1518637636
Individual Registrant: LUCY HAEMIN AHN PHARMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
431 CORTE MADERA TOWN CTR CORTE MADERA, CA 94925-1215 US
Tel: 415-924-4557 Fax: --
Tel: 415-924-4557 Fax: --
Contact information for business:
260 MERRYDALE RD APT 19 SAN RAFAEL, CA 94903-3957 US
Tel: 858-761-2250 Fax: --
Tel: 858-761-2250 Fax: --
Registration Information:
NPI: 1518637636
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | RPH84581 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CA BOP | RPH84581 | CA | 01 |
