Provider Demographics
NPI:1982786711
Name:WU, HSIU JEAN (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:HSIU JEAN
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MS
Other - First Name:JEAN
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:1795 2ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-1704
Mailing Address - Country:US
Mailing Address - Phone:510-559-5278
Mailing Address - Fax:
Practice Address - Street 1:1795 2ND ST STE B
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-1704
Practice Address - Country:US
Practice Address - Phone:510-559-5278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist