Provider Demographics
NPI:1538476320
Name:VU, QUANG DUC (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:QUANG
Middle Name:DUC
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 1:825 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3206
Mailing Address - Country:US
Mailing Address - Phone:805-966-2760
Mailing Address - Fax:805-966-0967
Practice Address - Street 1:825 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3206
Practice Address - Country:US
Practice Address - Phone:805-966-2760
Practice Address - Fax:805-966-0967
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist