Provider Demographics
NPI:1265718761
Name:WU, WEN LIN (RPH)
Entity type:Individual
Prefix:MRS
First Name:WEN LIN
Middle Name:
Last Name:WU
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 1:9191 SUN POINTE DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3353
Mailing Address - Country:US
Mailing Address - Phone:561-200-6616
Mailing Address - Fax:
Practice Address - Street 1:11079 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-7218
Practice Address - Country:US
Practice Address - Phone:561-736-2998
Practice Address - Fax:561-734-7253
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist