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NPI Code Detail

MEDICARE: JENNIFER VU PHARMD

MEDICARE: JENNIFER VU PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist60824TX

General Provider Information

NPI Number : 1275045510
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER VU PHARMD
Provider Business Mailing Address
First Line : 16714 BLACKLAND PRAIRIE DR
Second Line :
City : CYPRESS
State : TX
Zip : 77433-4829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3040 COLLEGE PARK DR
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77384-8002
Country : US
Telephone Number : 936-271-0755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2017
Last Update Date : 10/26/2017

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