Healthcare Provider Details

I. General information

NPI: 1508157355
Provider Name (Legal Business Name): ZHU LI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 04/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1628 CHESTNUT ST
PHILADELPHIA PA
19103-5119
US

IV. Provider business mailing address

8 COLLAGE LN
CHERRY HILL NJ
08003-5107
US

V. Phone/Fax

Practice location:
  • Phone: 215-972-0234
  • Fax:
Mailing address:
  • Phone: 856-489-0185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP046144L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: