Healthcare Provider Details

I. General information

NPI: 1578119459
Provider Name (Legal Business Name): RICHARD HSU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2019
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 S GALLERIA WAY
CHANDLER AZ
85226-4932
US

IV. Provider business mailing address

595 S GALLERIA WAY
CHANDLER AZ
85226-4932
US

V. Phone/Fax

Practice location:
  • Phone: 480-375-2078
  • Fax:
Mailing address:
  • Phone: 408-674-6671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS024177
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: