Provider Demographics
NPI:1619582392
Name:VU, CHRIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:VU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:NHAN
Other - Middle Name:VAN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:54 PLAIN ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851
Mailing Address - Country:US
Mailing Address - Phone:978-453-7538
Mailing Address - Fax:978-934-8874
Practice Address - Street 1:54 PLAIN ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851
Practice Address - Country:US
Practice Address - Phone:978-453-7538
Practice Address - Fax:978-934-8874
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH22681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist