Provider Demographics
NPI:1174237317
Name:LITTLE, DANA CHAU
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:CHAU
Last Name:LITTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9366 CASTLEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-3917
Mailing Address - Country:US
Mailing Address - Phone:916-896-9500
Mailing Address - Fax:
Practice Address - Street 1:9366 CASTLEVIEW DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-3917
Practice Address - Country:US
Practice Address - Phone:916-896-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist