Provider Demographics
NPI:1174808208
Name:MO, SZE-CHEUNG (PHARMD)
Entity type:Individual
Prefix:
First Name:SZE-CHEUNG
Middle Name:
Last Name:MO
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 1:2238 WESTBOROUGH BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5405
Mailing Address - Country:US
Mailing Address - Phone:650-873-0551
Mailing Address - Fax:650-873-0234
Practice Address - Street 1:2238 WESTBOROUGH BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5405
Practice Address - Country:US
Practice Address - Phone:650-873-0551
Practice Address - Fax:650-873-0234
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist