NPI 1003183591

Jack Wu

Practitioner Pharmacist Irvine, CA

Practice location

Address: 5695 Alton Pkwy, Irvine, CA 92618
Phone: (949) 726-0716
Mailing address: 87 Shadywood, Irvine, CA 92620

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH52764 (CA)

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Registry record

NPI: 1003183591
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2011
Record last updated: 28 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.