Healthcare Provider Details

I. General information

NPI: 1245765197
Provider Name (Legal Business Name): EMILY HSU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2017
Last Update Date: 04/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W VERDUGO AVE
BURBANK CA
91502-2469
US

IV. Provider business mailing address

315 W VERDUGO AVE
BURBANK CA
91502-2469
US

V. Phone/Fax

Practice location:
  • Phone: 800-657-2212
  • Fax: 310-657-0906
Mailing address:
  • Phone: 800-657-2212
  • Fax: 310-657-0906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number74454
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: