Provider Demographics
NPI:1417134115
Name:HSU, CHING-JEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHING-JEN
Middle Name:
Last Name:HSU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 CASTLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4427
Mailing Address - Country:US
Mailing Address - Phone:585-426-2991
Mailing Address - Fax:585-247-0826
Practice Address - Street 1:2709 CHILI AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-4123
Practice Address - Country:US
Practice Address - Phone:585-426-2991
Practice Address - Fax:585-247-0826
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist