Individual
JERRY WU
Active
Individual
JERRY WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
62767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62767
CALIFORNIA BOARD OF PHARMACY LICENSE
CA
Enumeration date
04/17/2017
Last updated
04/17/2017
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