Provider Demographics
NPI:1790937969
Name:VU, AMY THI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:THI
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 1:610 E NEES AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2198
Mailing Address - Country:US
Mailing Address - Phone:559-431-1379
Mailing Address - Fax:559-431-1607
Practice Address - Street 1:610 E NEES AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2198
Practice Address - Country:US
Practice Address - Phone:559-431-1379
Practice Address - Fax:559-431-1607
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-18
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist