Provider Demographics
NPI:1578736377
Name:SU, HSING-CHIH (PHD, RPH)
Entity Type:Individual
Prefix:DR
First Name:HSING-CHIH
Middle Name:
Last Name:SU
Suffix:
Gender:F
Credentials:PHD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 QUINCE ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1410
Mailing Address - Country:US
Mailing Address - Phone:301-990-6993
Mailing Address - Fax:301-990-9713
Practice Address - Street 1:662 QUINCE ORCHARD RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1410
Practice Address - Country:US
Practice Address - Phone:301-990-6993
Practice Address - Fax:301-990-9713
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-12
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist