Provider Demographics
NPI:1215219688
Name:VU, TUAN A (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TUAN
Middle Name:A
Last Name:VU
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21019 BURTON ST
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-4337
Mailing Address - Country:US
Mailing Address - Phone:818-734-0079
Mailing Address - Fax:818-734-0079
Practice Address - Street 1:21019 BURTON ST
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-4337
Practice Address - Country:US
Practice Address - Phone:818-734-0079
Practice Address - Fax:818-734-0079
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist