NPI 1063129518

Paochee Chia Moua, RPH

Practitioner Pharmacist Manteca, CA

Practice location

Address: 280 Spreckels Ave, Manteca, CA 95336-6005
Phone: (209) 824-9288
Mailing address: 244 Klo Rd, Lathrop, CA 95330-9733

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 86023 (CA)

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Registry record

NPI: 1063129518
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Nov 2022
Record last updated: 3 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.