Provider Demographics
NPI:1609405018
Name:VU, NGOCTU H
Entity Type:Individual
Prefix:
First Name:NGOCTU
Middle Name:H
Last Name:VU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8990 TURKEY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7320
Mailing Address - Country:US
Mailing Address - Phone:407-351-2191
Mailing Address - Fax:407-351-2710
Practice Address - Street 1:8990 TURKEY LAKE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7320
Practice Address - Country:US
Practice Address - Phone:407-351-2191
Practice Address - Fax:407-351-2710
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist