Provider Demographics
NPI:1770898983
Name:VU, COLLIN (RPH, PHD)
Entity type:Individual
Prefix:DR
First Name:COLLIN
Middle Name:
Last Name:VU
Suffix:
Gender:M
Credentials:RPH, PHD
Other - Prefix:DR
Other - First Name:COLLIN
Other - Middle Name:
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH, PHD
Mailing Address - Street 1:1807 BEAUDET LN
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-3800
Mailing Address - Country:US
Mailing Address - Phone:919-924-1417
Mailing Address - Fax:
Practice Address - Street 1:3151 APEX PEAKWAY
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5709
Practice Address - Country:US
Practice Address - Phone:919-362-3717
Practice Address - Fax:919-362-3843
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2010-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist