Provider Demographics
NPI:1407121353
Name:VU, HOANG T (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HOANG
Middle Name:T
Last Name:VU
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:PO BOX 4273
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92616-4273
Mailing Address - Country:US
Mailing Address - Phone:949-651-8622
Mailing Address - Fax:
Practice Address - Street 1:13111 PEYTON DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6002
Practice Address - Country:US
Practice Address - Phone:909-627-1876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-11
Last Update Date:2012-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60043183500000X
AZS016300183500000X
HIPH-2689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist