Healthcare Provider Details

I. General information

NPI: 1568378842
Provider Name (Legal Business Name): SHIRLEY WU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 TAYLOR AVE
ANNAPOLIS MD
21401-1419
US

IV. Provider business mailing address

609 TAYLOR AVE
ANNAPOLIS MD
21401-1419
US

V. Phone/Fax

Practice location:
  • Phone: 410-268-5007
  • Fax:
Mailing address:
  • Phone: 410-268-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073614
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30864
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: