Provider Demographics
NPI:1356634273
Name:TIEU, PHUONG HUE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:PHUONG
Middle Name:HUE
Last Name:TIEU
Suffix:
Gender:F
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 1:16000 MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5404
Mailing Address - Country:US
Mailing Address - Phone:408-778-5184
Mailing Address - Fax:
Practice Address - Street 1:16000 MONTEREY ST
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5404
Practice Address - Country:US
Practice Address - Phone:408-778-5184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist