Provider Demographics
NPI:1033373584
Name:VU, KIM P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:P
Last Name:VU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CAPTAIN DR APT C210
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1749
Mailing Address - Country:US
Mailing Address - Phone:310-634-6329
Mailing Address - Fax:
Practice Address - Street 1:7 CAPTAIN DR APT C210
Practice Address - Street 2:
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1749
Practice Address - Country:US
Practice Address - Phone:310-634-6329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist