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Individual

MISS CAROL THOAI LUC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7699
(650) 934-7698
Mailing address
5932 STERLING OAKS DR, SAN JOSE, CA 95120-1785
(408) 930-4673
(650) 934-7698

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49556
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48425
PHARMACY PERMIT
CA
01
49556
STATE BOARD
CA
Enumeration date
05/03/2007
Last updated
07/08/2007
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