MEDICARE: LU & WEBER CORPORATION

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	3336S0011X	Specialty Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053927921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LU & WEBER CORPORATION

Provider Business Mailing Address
First Line	:	10521 GARDEN GROVE BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1128
Country	:	US
Telephone Number	:	714-590-3620
Fax Number	:

Provider Business Practice Location Address
First Line	:	10521 GARDEN GROVE BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1128
Country	:	US
Telephone Number	:	714-590-3620
Fax Number	:	714-590-3628

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. ROSALIE LU WEBER
Credential	:	PHARM.D.
Telephone Number	:	714-590-3620

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	09/16/2020

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Directions to “LU & WEBER CORPORATION ” Practice Location

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