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Individual

CHAO FU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
450 N WILBUR AVE, WALLA WALLA, WA 99362-2254
(402) 281-6849
Mailing address
234 FULTON ST, WALLA WALLA, WA 99362-2053
(402) 281-6849

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60863174
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH60863174
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/10/2018
Last updated
09/10/2018
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