Provider Demographics
NPI:1184145070
Name:TSE, SHUN-YAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHUN-YAN
Middle Name:
Last Name:TSE
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 1:1070 RICHARD D SAILORS PKWY
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-5221
Mailing Address - Country:US
Mailing Address - Phone:770-222-2897
Mailing Address - Fax:770-222-7137
Practice Address - Street 1:1070 RICHARD D SAILORS PKWY
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-5221
Practice Address - Country:US
Practice Address - Phone:770-222-2897
Practice Address - Fax:770-222-7137
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK16319183500000X
GARPH33610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist