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NPI Code Detail

MEDICARE: TERESA VU PHARMD

MEDICARE: TERESA 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
1183500000XPharmacist78159CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
178159OTHERCAREGISTERED PHARMACIST

General Provider Information

NPI Number : 1467943233
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA VU PHARMD
Provider Business Mailing Address
First Line : 3955 VINEYARD AVE APT 38
Second Line :
City : PLEASANTON
State : CA
Zip : 94566-6719
Country : US
Telephone Number : 714-548-7431
Fax Number :
Provider Business Practice Location Address
First Line : 43950 PACIFIC COMMONS BLVD
Second Line :
City : FREMONT
State : CA
Zip : 94538-3803
Country : US
Telephone Number : 510-771-1617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2018
Last Update Date : 05/28/2018

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