Provider Demographics
NPI:1639253800
Name:CYNTHIA H VU
Entity Type:Organization
Organization Name:CYNTHIA H VU
Other - Org Name:VALLEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:HA
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:559-226-3493
Mailing Address - Street 1:2045 N FRESNO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2232
Mailing Address - Country:US
Mailing Address - Phone:559-226-3493
Mailing Address - Fax:559-226-3493
Practice Address - Street 1:2045 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2232
Practice Address - Country:US
Practice Address - Phone:559-226-3493
Practice Address - Fax:559-226-3493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY36748333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA367480Medicaid
CA0518463OtherNABP #