Provider Demographics
NPI:1447761317
Name:CAI, THU VU (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:THU
Middle Name:VU
Last Name:CAI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 S HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6840
Mailing Address - Country:US
Mailing Address - Phone:714-773-0841
Mailing Address - Fax:714-773-4127
Practice Address - Street 1:1151 S HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6840
Practice Address - Country:US
Practice Address - Phone:714-773-0841
Practice Address - Fax:714-773-4127
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist