Provider Demographics
NPI:1891399598
Name:WU, HUAILING CATHY
Entity Type:Individual
Prefix:
First Name:HUAILING
Middle Name:CATHY
Last Name:WU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43930 FARMWELL HUNT PLZ
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5896
Mailing Address - Country:US
Mailing Address - Phone:703-724-7582
Mailing Address - Fax:
Practice Address - Street 1:43930 FARMWELL HUNT PLZ
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5896
Practice Address - Country:US
Practice Address - Phone:703-724-7546
Practice Address - Fax:703-724-7531
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist