Theodore Qm Ly, - Pharmacist in San Luis Obispo, CA

Theodore Qm Ly, is a Pharmacist based in San Luis Obispo, California. Theodore Qm Ly is licensed to practice in California (license number 84269) and his current practice location is 1251 Johnson Ave, San Luis Obispo, California. He can be reached at his office (for appointments etc.) via phone at (805) 545-0655.

NPI number for Theodore Qm Ly is 1053980839 and his current mailing address is 1633 W Southgate Ave, Fullerton, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053980839.

Contact Information

Theodore Qm Ly,
1251 Johnson Ave,
San Luis Obispo, CA 93401-3306
(805) 545-0655
Not Available

Healthcare Provider's Profile

Full NameTheodore Qm Ly
GenderMale
SpecialityPharmacist
Location1251 Johnson Ave, San Luis Obispo, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053980839
  • Provider Enumeration Date: 06/24/2021
  • Last Update Date: 06/24/2021

Medical Identifiers

Medical identifiers for Theodore Qm Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053980839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 84269 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Qm Ly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theodore Qm Ly,
1633 W Southgate Ave,
Fullerton, CA 92833-3850

Ph: () -
Theodore Qm Ly,
1251 Johnson Ave,
San Luis Obispo, CA 93401-3306

Ph: (805) 545-0655

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› Verified 2 days ago


Pharmacist in San Luis Obispo, CA

Erica Sungeun Kim I,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1251 Johnson Ave, San Luis Obispo, CA 93401
Phone: 805-545-0655    Fax: 805-545-8713
Nathan Martin, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 956 E Foothill Blvd, San Luis Obispo, CA 93405
Phone: 805-543-5697    
Dr. David Salazar, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3900 Broad St, San Luis Obispo, CA 93401
Phone: 805-541-1132    
Shirow Duane Sasaki, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 11990 Los Osos Valley Rd., San Luis Obispo, CA 93405
Phone: 805-858-9902    
Maurina Gaoiran Bartlett, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2625 Canet Rd, Route 2 Box 439, San Luis Obispo, CA 93401
Phone: 805-674-1961    
Estelle Steynberg, PHARMACIST
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: Highway 1, San Luis Obispo, CA 93409
Phone: 805-547-7900    
Kadee Vannorsdall, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1540 Froom Ranch Way, San Luis Obispo, CA 93405
Phone: 805-541-7028    

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