Basic Information
| Provider Information | |||||||||
| NPI: | 1063614642 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WU | ||||||||
| FirstName: | ALLAN | ||||||||
| MiddleName: | DAI CHUN | ||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 141 N CIVIC DR | ||||||||
| Address2: | |||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945963815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9252106659 | ||||||||
| FaxNumber: | 9252106606 | ||||||||
| Practice Location | |||||||||
| Address1: | 2270 HOONEE PL | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968192214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8088411039 | ||||||||
| FaxNumber: | 8088416850 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 1954 | HI | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.