Healthcare Provider Details

I. General information

NPI: 1457186157
Provider Name (Legal Business Name): WENYA ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 BUSTLETON AVE
PHILADELPHIA PA
19152-4312
US

IV. Provider business mailing address

46 MORGAN RUN
HUNTINGDON VALLEY PA
19006-1322
US

V. Phone/Fax

Practice location:
  • Phone: 267-350-9481
  • Fax:
Mailing address:
  • Phone: 917-930-0316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP458495
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: