THEODORE QM LY

SAN LUIS OBISPO, CA
NPI1053980839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  84269)
Enumeration Date2021-06-24
Last Update Date2021-06-24
Business Address
THEODORE QM LY
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-3306
Phone number: 805-545-0655
Mailing Address
THEODORE QM LY
1633 W SOUTHGATE AVE
FULLERTON, CA 92833-3850
Phone number: