Provider Demographics
NPI:1427325091
Name:CHOW, DANIEL (PHARMD)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:CHOW
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 1:20700 AVALON BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3718
Mailing Address - Country:US
Mailing Address - Phone:310-819-3012
Mailing Address - Fax:
Practice Address - Street 1:20700 AVALON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3718
Practice Address - Country:US
Practice Address - Phone:310-819-3012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-25
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist