Provider Demographics
NPI:1215531645
Name:XU, GUIYU JESSIE (RPH)
Entity type:Individual
Prefix:
First Name:GUIYU
Middle Name:JESSIE
Last Name:XU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 FERNWAY
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2128
Mailing Address - Country:US
Mailing Address - Phone:978-834-0300
Mailing Address - Fax:
Practice Address - Street 1:5 MACY ST
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3706
Practice Address - Country:US
Practice Address - Phone:978-834-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH0238365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist