NPI 1043681828

Shu Zhao

Practitioner Pharmacist Waltham, MA

Practice location

Address: 15 Main St, Waltham, MA 02453-6905
Phone: (781) 642-8711

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH236322 (MA)

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Registry record

NPI: 1043681828
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2015
Record last updated: 19 Oct 2015

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.