Individual ProviderLisa M. TongPharmacistPharmacy Service ProvidersPractice Address521 Parnassus Ave, C152, San Francisco, CA 94143-0622(415) 353-1096PECOS EnrollmentBased on the most recent information from CMS, provider Lisa M. Tong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548258411Provider TypeIndividualFull NameTong, Lisa M.TitleDr.CredentialPHARM.D.GenderFemaleSole ProprietorNoEnumeration Date10/13/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address521 Parnassus Ave, C152, San Francisco, CA 94143-0622Phone(415) 353-1096Fax(415) 353-1097Mailing LocationMailing Address521 Parnassus Ave., C152, San Francisco, CA 94143-0622Phone(415) 353-1096Fax(415) 353-1097Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense49790California