Provider Demographics
NPI:1821379389
Name:CHU, LAP PAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAP PAN
Middle Name:
Last Name:CHU
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 1:25684 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2019
Mailing Address - Country:US
Mailing Address - Phone:419-874-8878
Mailing Address - Fax:
Practice Address - Street 1:25684 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2019
Practice Address - Country:US
Practice Address - Phone:419-874-8878
Practice Address - Fax:419-874-8898
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035032183500000X
OH03127308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist