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NPI Code Detail

MEDICARE: DR. HIEN PHUONG LUU PHARMD

MEDICARE: DR. HIEN PHUONG LUU PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS40531FL

General Provider Information

NPI Number : 1205116837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HIEN PHUONG LUU PHARMD
Provider Business Mailing Address
First Line : 16900 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32820-1911
Country : US
Telephone Number : 407-568-4199
Fax Number :
Provider Business Practice Location Address
First Line : 16900 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32820-1911
Country : US
Telephone Number : 407-568-4199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2011
Last Update Date : 08/26/2011

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Directions to “ DR. HIEN PHUONG LUU PHARMD” Practice Location

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