Provider Demographics
NPI:1205910437
Name:LIM, ARTHUR HERBERT (PHARM D)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:HERBERT
Last Name:LIM
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 KIELY BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-7045
Mailing Address - Country:US
Mailing Address - Phone:408-984-2132
Mailing Address - Fax:650-321-5977
Practice Address - Street 1:2111 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-1715
Practice Address - Country:US
Practice Address - Phone:650-321-1449
Practice Address - Fax:650-321-5977
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH28132183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0531524OtherNABP NUMBER
CAP0604155OtherSTATE DRIVER'S LICENSE
CARPH28132OtherSTATE LICENSE NUMBER
CARPH28132OtherSTATE LICENSE NUMBER
CAP0604155OtherSTATE DRIVER'S LICENSE