Healthcare Provider Details

I. General information

NPI: 1205964673
Provider Name (Legal Business Name): BAY-MAO BILL WU PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 BRIAR CREEK DR
ANNANDALE VA
22003-4641
US

IV. Provider business mailing address

8316 BRIAR CREEK DR
ANNANDALE VA
22003-4641
US

V. Phone/Fax

Practice location:
  • Phone: 703-503-8187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number0202007304
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0202007304
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: