Provider Demographics
NPI:1982972758
Name:CHEN, TSUHUA SUSAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TSUHUA
Middle Name:SUSAN
Last Name:CHEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 ITHILIEN
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-9032
Mailing Address - Country:US
Mailing Address - Phone:507-301-6867
Mailing Address - Fax:507-386-7213
Practice Address - Street 1:1320 ITHILIEN
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-9032
Practice Address - Country:US
Practice Address - Phone:507-301-6867
Practice Address - Fax:952-474-3220
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118207183500000X, 1835G0303X, 1835P0018X, 1835P0018X, 1835P1200X, 1835P2201X
IL051.2884831835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL051.288483OtherPHARMACIST
MN118207OtherPHARMACIST LICENSE