Provider Demographics
NPI:1689817991
Name:VU, THUY KIM (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:THUY
Middle Name:KIM
Last Name:VU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11255 MOUNTAIN VIEW AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3864
Mailing Address - Country:US
Mailing Address - Phone:909-558-3088
Mailing Address - Fax:909-558-3965
Practice Address - Street 1:11255 MOUNTAIN VIEW AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3864
Practice Address - Country:US
Practice Address - Phone:909-558-3088
Practice Address - Fax:909-558-3965
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH469581835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist