Provider Demographics
NPI:1134090905
Name:LUU, YEN THUC (RPH)
Entity type:Individual
Prefix:
First Name:YEN
Middle Name:THUC
Last Name:LUU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6794 PILOT WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-1633
Mailing Address - Country:US
Mailing Address - Phone:619-818-8192
Mailing Address - Fax:
Practice Address - Street 1:6794 PILOT WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-1633
Practice Address - Country:US
Practice Address - Phone:619-818-8192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist