Provider Demographics
NPI:1144380841
Name:LU, TUYET THI (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TUYET
Middle Name:THI
Last Name:LU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 HERITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-7644
Mailing Address - Country:US
Mailing Address - Phone:559-324-9310
Mailing Address - Fax:559-324-9310
Practice Address - Street 1:735 HERITAGE AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-7644
Practice Address - Country:US
Practice Address - Phone:559-324-9310
Practice Address - Fax:559-324-9310
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 48787183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist