Provider Demographics
NPI:1508026956
Name:TSAI, SHU-YU (RPH)
Entity Type:Individual
Prefix:
First Name:SHU-YU
Middle Name:
Last Name:TSAI
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 1:120 249TH PL NE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-3441
Mailing Address - Country:US
Mailing Address - Phone:425-269-8848
Mailing Address - Fax:
Practice Address - Street 1:120 106TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5910
Practice Address - Country:US
Practice Address - Phone:425-451-0582
Practice Address - Fax:425-450-0412
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00040310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist