Healthcare Provider Details

I. General information

NPI: 1568942332
Provider Name (Legal Business Name): NHU LY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2018
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 W ORANGETHORPE AVE
FULLERTON CA
92833-4406
US

IV. Provider business mailing address

1826 W ORANGETHORPE AVE
FULLERTON CA
92833-4406
US

V. Phone/Fax

Practice location:
  • Phone: 714-526-9257
  • Fax:
Mailing address:
  • Phone: 714-526-9257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: