Theodore Qm Ly
Theodore Qm Ly is a Pharmacist in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
1251 Johnson AveSan Luis Obispo, CA 93401-3306
Phone: (805) 545-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 84269 (CA) |
|---|
Record details
| NPI number | 1053980839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 24, 2021 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
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