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Fanny Li

Pharmacist

Pharmacy Service Providers

521 Parnassus Ave # C-152, Box 0622, San Francisco, CA 94143-2206

(415) 353-1208

PECOS Enrollment

Based on the most recent information from CMS, provider Fanny Li does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821110230
Provider Type
Individual
Full Name
Li, Fanny
Title
Ms.
Credential
PHARM D

Gender
Female
Sole Proprietor
No
Enumeration Date
4/5/2007
Last Updated
8/24/2007

Contact Information

Practice Location

521 Parnassus Ave # C-152, Box 0622, San Francisco, CA 94143-2206

(415) 353-1208

Unlisted Fax

Mailing Location

4346 Ulloa St, San Francisco, CA 94116-2067

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License RPH 58316 California
Code 183500000X	Description Pharmacist Pharmacy Service Providers	License PH00061393 Washington

Fanny Li

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kishi, Donald T.

Dacey, Katie Meunier

Cheng, Linda

Nghiem, Terrie Tien

Dudas, Vicky J

Seraydarian, Manuel

Bedodo, Merilin

Yang, Katherine Y

Kong, Philip

Chiang, Elaine