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NPI Code Detail

MEDICARE: SHU XIAO RPH

MEDICARE:   SHU  XIAO  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH87760CA
2183500000XPharmacistRP456637PA

General Provider Information

NPI Number : 1124703509
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHU XIAO RPH
Provider Business Mailing Address
First Line : 460 N ELM ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3002
Country : US
Telephone Number : 833-867-4642
Fax Number :
Provider Business Practice Location Address
First Line : 460 N ELM ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3002
Country : US
Telephone Number : 833-867-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2023
Last Update Date : 03/18/2026

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Directions to “ SHU XIAO RPH” Practice Location

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