Provider Demographics
NPI:1215233960
Name:SU, DENIS CHI-HAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DENIS
Middle Name:CHI-HAN
Last Name:SU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7133 CITADEL CREEK LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-7055
Mailing Address - Country:US
Mailing Address - Phone:919-208-3953
Mailing Address - Fax:
Practice Address - Street 1:11314 US 15 501 HWY N
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-6374
Practice Address - Country:US
Practice Address - Phone:919-929-1143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist