MEDICARE: MRS. NGOC HONG VU RPH.

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
1	183500000X	Pharmacist	48675	CA

General Provider Information

NPI Number	:	1508027913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NGOC HONG VU RPH.

Provider Business Mailing Address
First Line	:	13075 HARBOR BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1739
Country	:	US
Telephone Number	:	714-638-2888
Fax Number	:	714-638-8345

Provider Business Practice Location Address
First Line	:	13075 HARBOR BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1739
Country	:	US
Telephone Number	:	714-638-2888
Fax Number	:	714-638-8345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	06/18/2008

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