Timothy Fung Valid NPI
Individual provider · Pharmacist · Ontario, CA
- NPI
- 1215308697
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 69458 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-10-12
- Last updated
- 2015-10-12
Practice location
2295 S Vineyard Ave # D
Ontario, CA 91761-7925
(909) 724-3120