MEDICARE: MRS. VIVIAN HA VU PHARM D

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	59390	CA

General Provider Information

NPI Number	:	1861776999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VIVIAN HA VU PHARM D

Provider Business Mailing Address
First Line	:	1420 MEADOWVIEW RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823
Country	:	US
Telephone Number	:	916-421-0102
Fax Number	:	916-421-0118

Provider Business Practice Location Address
First Line	:	1420 MEADOW VIEW RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823
Country	:	US
Telephone Number	:	916-421-0102
Fax Number	:	916-421-0118

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

Provider Enumeration Date	:	10/07/2011
Last Update Date	:	10/07/2011

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