Individual
SALLY THANH VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
(405) 290-1716
Mailing address
1121 NW 196TH ST, EDMOND, OK 73003-3451
(405) 215-0203
(405) 290-1716
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12903
OK
183500000X
Pharmacist
15172
LA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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