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NPI Code Detail

MEDICARE: PERRY CHU PHARMACIST

MEDICARE: PERRY CHU PHARMACIST
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
11835P2201XAmbulatory Care Pharmacist14397NV

General Provider Information

NPI Number : 1750745279
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERRY CHU PHARMACIST
Provider Business Mailing Address
First Line : 4800 BLUE DIAMOND RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7602
Country : US
Telephone Number : 702-260-4594
Fax Number : 702-260-6603
Provider Business Practice Location Address
First Line : 4800 BLUE DIAMOND RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7602
Country : US
Telephone Number : 702-260-4594
Fax Number : 702-260-6603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 04/11/2016

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Directions to “ PERRY CHU PHARMACIST” Practice Location

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