Provider Demographics
NPI:1912020710
Name:HSU, PILAN L (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:PILAN
Middle Name:L
Last Name:HSU
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4406 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:MD
Mailing Address - Zip Code:21013-9628
Mailing Address - Country:US
Mailing Address - Phone:410-592-5764
Mailing Address - Fax:
Practice Address - Street 1:4406 OLD FARM RD
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:MD
Practice Address - Zip Code:21013-9628
Practice Address - Country:US
Practice Address - Phone:410-592-5764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist