Provider Demographics
NPI:1972623817
Name:WOO, JAMES H (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:WOO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 ONEIL CIR
Mailing Address - Street 2:
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-3745
Mailing Address - Country:US
Mailing Address - Phone:510-724-1813
Mailing Address - Fax:
Practice Address - Street 1:1400 FITZGERALD DR
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2250
Practice Address - Country:US
Practice Address - Phone:510-222-9281
Practice Address - Fax:510-222-9281
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 28502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH 28502OtherPHARMACIST LICENSE