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NPI Code Detail

MEDICARE: MR. PHILIP Y HSU RPH. MBA

MEDICARE: MR. PHILIP Y HSU RPH. MBA
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
1183500000XPharmacist9106-040WI

General Provider Information

NPI Number : 1093712440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PHILIP Y HSU RPH. MBA
Provider Business Mailing Address
First Line : 303 STEEPLE POINTE CIR
Second Line :
City : DELAFIELD
State : WI
Zip : 53018-2450
Country : US
Telephone Number : 262-646-4899
Fax Number :
Provider Business Practice Location Address
First Line : W180N8085 TOWN HALL RD
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-3518
Country : US
Telephone Number : 262-257-3070
Fax Number : 262-250-7008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/08/2007

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