Most Relevant Information
Provider Data
| NPI Number: | 1003183591 |
| Provider Name: | JACK WU |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH52764 |
Most Important Dates
| Enumeration Date: | 11/28/2011 |
| Last Updated: | 11/28/2011 |
Provider Practice Location
5695 ALTON PKWY
IRVINE
CA
92618
Practice Location Phone/Fax
| Phone: | 9497260716 |
| Fax: |
Provider Mailing Location
87 SHADYWOOD
IRVINE
CA
92620
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |