Provider Demographics
NPI:1518940907
Name:SHU, WEI-YUNG VIRGINIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:WEI-YUNG
Middle Name:VIRGINIA
Last Name:SHU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:SHU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:145 BERNARD DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2693
Mailing Address - Country:US
Mailing Address - Phone:908-604-6156
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07653-0608
Practice Address - Country:US
Practice Address - Phone:201-634-8421
Practice Address - Fax:201-967-8658
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01723100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist