Provider Demographics
NPI:1801029947
Name:LU, DANNY DAJUN (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:DAJUN
Last Name:LU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 W 42ND ST APT 60H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6964
Mailing Address - Country:US
Mailing Address - Phone:347-827-1228
Mailing Address - Fax:
Practice Address - Street 1:350 W 42ND ST APT 60H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6964
Practice Address - Country:US
Practice Address - Phone:347-827-1228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053852183500000X, 183500000X
NY31211251835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy