Healthcare Provider Details

I. General information

NPI: 1578862462
Provider Name (Legal Business Name): MR. TSZ L WU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2011
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12726 ROUTE 1
CHESTER VA
23831-5370
US

IV. Provider business mailing address

9501 STAPLES MILL RD
RICHMOND VA
23228
US

V. Phone/Fax

Practice location:
  • Phone: 804-414-7001
  • Fax: 804-414-7004
Mailing address:
  • Phone: 804-501-2275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202010796
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: