MEDICARE: DAVID CHU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	AR14615	AR

General Provider Information

NPI Number	:	1093392813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CHU

Provider Business Mailing Address
First Line	:	324 MAIN ST
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72114-5326
Country	:	US
Telephone Number	:	501-374-4851
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 MAIN ST
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72114-5326
Country	:	US
Telephone Number	:	501-374-4851
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	03/26/2021

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Directions to “ DAVID CHU ” Practice Location

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