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Mark Ian Lua, PharmD

Pharmacist in Long Beach, CA. Individual provider (NPI-1).

NPI number1194358093
StatusActive
Last updated in NPPESFeb 19, 2020

Details

NPI
1194358093
Entity type
Individual (NPI-1)
Name
Mark Ian Lua
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 19, 2020
Certification date
Feb 19, 2020
Last updated
Feb 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist82082CAYes

Practice location

3500 E Pacific Coast Hwy
Long Beach, CA 90804-1904

Phone 341-356-2494

Mailing address

22021 E Snow Creek Dr
Walnut, CA 91789-1496

Phone 909-573-5218

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