Provider Demographics
NPI:1508412735
Name:TSAI, SHIRLEY YIHSIU (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:YIHSIU
Last Name:TSAI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 N AZALEA WAY
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-1572
Mailing Address - Country:US
Mailing Address - Phone:626-538-5024
Mailing Address - Fax:
Practice Address - Street 1:931 N AZALEA WAY
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-1572
Practice Address - Country:US
Practice Address - Phone:626-538-5024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist