Provider Demographics
NPI:1245553114
Name:YU, KWAI CHU (RPH)
Entity type:Individual
Prefix:MS
First Name:KWAI
Middle Name:CHU
Last Name:YU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149-54 20TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1135
Mailing Address - Country:US
Mailing Address - Phone:718-767-1880
Mailing Address - Fax:
Practice Address - Street 1:14-01 COLLEGE POINT BOULEVARD
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356
Practice Address - Country:US
Practice Address - Phone:718-353-3904
Practice Address - Fax:718-353-2854
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist