Provider Demographics
NPI:1467058172
Name:KAN, SHUH WEI (RPH)
Entity Type:Individual
Prefix:
First Name:SHUH WEI
Middle Name:
Last Name:KAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:SHUH WEI
Other - Middle Name:
Other - Last Name:KAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:11500 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-6400
Mailing Address - Country:US
Mailing Address - Phone:727-856-1334
Mailing Address - Fax:
Practice Address - Street 1:11500 RIDGE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-6400
Practice Address - Country:US
Practice Address - Phone:727-856-1334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist