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Theodore Qm Ly
Pharmacist in San Luis Obispo, California
NPI 1053980839

Theodore Qm Ly is a Pharmacist based in Fullerton, CA. Theodore Qm Ly practices in San Luis Obispo, CA. The NPI Number for Theodore Qm Ly is 1053980839 and holds a License No. 84269 (California).

The current practice location address for Theodore Qm Ly is 1251 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-545-0655.

Location: 1251 Johnson Ave, San Luis Obispo, CA, 92833-3850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053980839
Provider Name
Theodore Qm Ly
Credential
Provider Entity Type
Individual
Gender
Male
Address
1251 Johnson Ave, San Luis Obispo, CA, 92833-3850
Phone Number
805-545-0655
Fax Number
Provider Enumeration Date
06/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1251 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-3306
Phone Number
805-545-0655
Fax Number
person
Provider Business Mailing Address Details
Address
1251 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-3306
Phone Number
805-545-0655
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
84269 (California)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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