Healthcare Provider Details

I. General information

NPI: 1043122260
Provider Name (Legal Business Name): HSUAN-HAO CHEN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: KEVIN CHEN PHARMD

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS OH
44122-5203
US

IV. Provider business mailing address

3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS OH
44122-5203
US

V. Phone/Fax

Practice location:
  • Phone: 206-488-7098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03447292
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: