Provider Demographics
NPI:1205125432
Name:VU, BRIAN THUY (PHARMD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:THUY
Last Name:VU
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 1:5250 BELLAZZA CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-6155
Mailing Address - Country:US
Mailing Address - Phone:541-908-2893
Mailing Address - Fax:
Practice Address - Street 1:5250 BELLAZZA CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-6155
Practice Address - Country:US
Practice Address - Phone:541-908-2893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17718183500000X, 1835X0200X
IDP6135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835X0200XPharmacy Service ProvidersPharmacistOncology