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NPI Code Detail

MEDICARE: QUYEN LU PHARM.D.

MEDICARE:   QUYEN  LU  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
1183500000XPharmacist47344CA

General Provider Information

NPI Number : 1437433026
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUYEN LU PHARM.D.
Provider Business Mailing Address
First Line : 6100 PACIFIC BLVD
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-2923
Country : US
Telephone Number : 323-826-9775
Fax Number : 323-826-9583
Provider Business Practice Location Address
First Line : 6100 PACIFIC BLVD
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-2923
Country : US
Telephone Number : 323-826-9775
Fax Number : 323-826-9583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2011
Last Update Date : 09/30/2011

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