Provider Demographics
NPI:1508453150
Name:SUH, EDWARD WOO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:WOO
Last Name:SUH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 N MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENOLDEN
Mailing Address - State:PA
Mailing Address - Zip Code:19036-1302
Mailing Address - Country:US
Mailing Address - Phone:610-522-0600
Mailing Address - Fax:610-461-1735
Practice Address - Street 1:159 N MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:GLENOLDEN
Practice Address - State:PA
Practice Address - Zip Code:19036-1302
Practice Address - Country:US
Practice Address - Phone:610-522-0600
Practice Address - Fax:610-461-1735
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist