Individual
JERRY WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8650
Mailing address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
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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