Provider Demographics
NPI:1043721707
Name:GUO, SHUAISHUAI (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHUAISHUAI
Middle Name:
Last Name:GUO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 ABBOTT LAKES LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3039
Mailing Address - Country:US
Mailing Address - Phone:832-677-4853
Mailing Address - Fax:
Practice Address - Street 1:1496 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6004
Practice Address - Country:US
Practice Address - Phone:415-626-9972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77648183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist