Provider Demographics
NPI:1841528510
Name:TSUI, BRIAN TIEN-AN (PHARMD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:TIEN-AN
Last Name:TSUI
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 1:115 E DUNLAP AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2841
Mailing Address - Country:US
Mailing Address - Phone:602-861-3677
Mailing Address - Fax:
Practice Address - Street 1:115 E DUNLAP AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2841
Practice Address - Country:US
Practice Address - Phone:602-861-3677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist