Provider Demographics
NPI:1568067189
Name:LUE, DONNA MICHELE (RPH)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MICHELE
Last Name:LUE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 AUGUSTA DR APT 35
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2465
Mailing Address - Country:US
Mailing Address - Phone:713-670-6532
Mailing Address - Fax:
Practice Address - Street 1:917 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-6412
Practice Address - Country:US
Practice Address - Phone:713-982-5565
Practice Address - Fax:713-982-5571
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist