MEDICARE: YUEHHSUN LU PHARMACIST

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	183500000X	Pharmacist	53628	TX

General Provider Information

NPI Number	:	1811596414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUEHHSUN LU PHARMACIST

Provider Business Mailing Address
First Line	:	6918 CORPORATE DR STE B5
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-5140
Country	:	US
Telephone Number	:	281-506-2453
Fax Number	:	281-506-2454

Provider Business Practice Location Address
First Line	:	6918 CORPORATE DR STE B5
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-5140
Country	:	US
Telephone Number	:	281-506-2453
Fax Number	:	281-506-2454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2020
Last Update Date	:	10/23/2020

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Directions to “ YUEHHSUN LU PHARMACIST” Practice Location

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