Healthcare Provider Details

I. General information

NPI: 1275891368
Provider Name (Legal Business Name): ANN W VU PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 05/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO STREET
FRESNO CA
93721
US

IV. Provider business mailing address

POST OFFICE BOX 1232
FRESNO CA
93715
US

V. Phone/Fax

Practice location:
  • Phone: 323-603-0005
  • Fax:
Mailing address:
  • Phone: 559-459-7231
  • Fax: 559-459-2545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number59863
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number59863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: