Provider Demographics
NPI:1780205153
Name:LUU, ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:
Last Name:LUU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:LUU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:204 E HOUSE ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3544
Mailing Address - Country:US
Mailing Address - Phone:281-519-7030
Mailing Address - Fax:281-968-7230
Practice Address - Street 1:204 E HOUSE ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3544
Practice Address - Country:US
Practice Address - Phone:281-519-7030
Practice Address - Fax:281-968-7230
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist