Individual
AN N VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
421 WAKARA WAY, SUITE 204, SALT LAKE CITY, UT 84108-1244
(801) 585-3881
Mailing address
421 WAKARA WAY, STE #204, SALT LAKE CITY, UT 84108-1244
(801) 585-3881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
42455
TX
183500000X
Pharmacist
Primary
6216012-8911
UT
Other
Enumeration date
02/06/2007
Last updated
08/01/2007
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