Provider Demographics
NPI:1477826709
Name:WU, JENNIFER C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:C
Last Name:WU
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:11500 NIMITZ AVE
Mailing Address - Street 2:ATTN: PHARMACY
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3566
Mailing Address - Country:US
Mailing Address - Phone:424-832-8313
Mailing Address - Fax:424-832-8315
Practice Address - Street 1:11500 NIMITZ AVE
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3566
Practice Address - Country:US
Practice Address - Phone:424-832-8313
Practice Address - Fax:310-268-4873
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA631491835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy