Provider Demographics
NPI:1609398536
Name:VUONG, ANH VU (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANH
Middle Name:VU
Last Name:VUONG
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 1:29398 RECOVERY WAY
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-8442
Mailing Address - Country:US
Mailing Address - Phone:541-465-2554
Mailing Address - Fax:
Practice Address - Street 1:29398 RECOVERY WAY
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448-8442
Practice Address - Country:US
Practice Address - Phone:541-465-2646
Practice Address - Fax:541-465-2647
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0015648183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist