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NPI Code Detail

MEDICARE: TOM LUU PHARMD.

MEDICARE: TOM LUU 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
1183500000XPharmacist52878TX

General Provider Information

NPI Number : 1598199515
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOM LUU PHARMD.
Provider Business Mailing Address
First Line : 200 N FESTIVAL DR
Second Line : APT. 412
City : EL PASO
State : TX
Zip : 79912-6214
Country : US
Telephone Number : 408-483-7771
Fax Number :
Provider Business Practice Location Address
First Line : 2800 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-2531
Country : US
Telephone Number : 915-533-6883
Fax Number : 915-533-3151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2013
Last Update Date : 08/27/2013

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Directions to “ TOM LUU PHARMD.” Practice Location

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