Provider Demographics
NPI:1417169673
Name:WU, CHI-ANN YU (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHI-ANN
Middle Name:YU
Last Name:WU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:RUBY
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:121 ELMCROFT BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5887
Mailing Address - Country:US
Mailing Address - Phone:301-330-5362
Mailing Address - Fax:
Practice Address - Street 1:7520 STANDISH PL
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-7706
Practice Address - Country:US
Practice Address - Phone:240-276-8952
Practice Address - Fax:240-276-8999
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist