Provider Demographics
NPI:1811593783
Name:WU, WEIWEI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WEIWEI
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:WEIWEI
Other - Middle Name:
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9851 FM 1097 RD W STE 195
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-5857
Mailing Address - Country:US
Mailing Address - Phone:936-286-3288
Mailing Address - Fax:936-286-3289
Practice Address - Street 1:9336 FM 1097 RD W
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318
Practice Address - Country:US
Practice Address - Phone:936-228-0204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572761835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist