NPI 1013269117

Samuel Lee Siang Shu, PHARMD

Practitioner Pharmacist Glen Burnie, MD

Practice location

Address: 7501 Ritchie Hwy, Glen Burnie, MD 21061-3716
Phone: (410) 766-5220
Mailing address: 7701 Heathers Ln, Nottingham, MD 21236-3835

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 20917 (MD)

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Registry record

NPI: 1013269117
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2012
Record last updated: 12 Oct 2012

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.