Provider Demographics
NPI:1366849929
Name:ZHAO, IRIS CHEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:CHEN
Last Name:ZHAO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:IRIS
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4501 X ST
Mailing Address - Street 2:ROOM 2054
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2229
Mailing Address - Country:US
Mailing Address - Phone:916-734-8285
Mailing Address - Fax:
Practice Address - Street 1:4501 X ST
Practice Address - Street 2:ROOM 2054
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2229
Practice Address - Country:US
Practice Address - Phone:916-734-8285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA696501835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology