Provider Demographics
NPI:1174060859
Name:TOM, CHRISTOPHER KAN-YUEN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:KAN-YUEN
Last Name:TOM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 861
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-0861
Mailing Address - Country:US
Mailing Address - Phone:626-216-2466
Mailing Address - Fax:
Practice Address - Street 1:101 REDLANDS MALL
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4705
Practice Address - Country:US
Practice Address - Phone:909-792-9684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist