Individual
THAO VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
900 ASSEMBLY ST, COLUMBIA, SC 29201-3938
(803) 212-7016
Mailing address
123 BASSWOOD DR, MAULDIN, SC 29662-1728
(864) 420-4082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37286
SC
Other
Enumeration date
09/06/2017
Last updated
10/29/2018
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