Provider Demographics
NPI:1700317393
Name:LUI, LAI
Entity type:Individual
Prefix:
First Name:LAI
Middle Name:
Last Name:LUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DILYS
Other - Middle Name:
Other - Last Name:LUI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4141 GEARY BLVD FL 1
Mailing Address - Street 2:KAISER FRENCH CAMPUS PHARMACY
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3118
Mailing Address - Country:US
Mailing Address - Phone:415-833-7892
Mailing Address - Fax:415-833-3645
Practice Address - Street 1:4141 GEARY BLVD FL 1
Practice Address - Street 2:KAISER FRENCH CAMPUS PHARMACY
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3118
Practice Address - Country:US
Practice Address - Phone:415-833-7892
Practice Address - Fax:415-833-3645
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43444183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist