Provider Demographics
NPI:1760701585
Name:LU, GRACE MIN-CHING (RPH)
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:MIN-CHING
Last Name:LU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-7774
Mailing Address - Country:US
Mailing Address - Phone:714-538-3382
Mailing Address - Fax:714-538-4152
Practice Address - Street 1:1825 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-7774
Practice Address - Country:US
Practice Address - Phone:714-538-3382
Practice Address - Fax:714-538-4152
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist