Provider Demographics
NPI:1154572642
Name:LUU, THUAN D (PHARMD)
Entity type:Individual
Prefix:MR
First Name:THUAN
Middle Name:D
Last Name:LUU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 AVENUE T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3732
Mailing Address - Country:US
Mailing Address - Phone:718-331-1821
Mailing Address - Fax:
Practice Address - Street 1:181 AVENUE T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3732
Practice Address - Country:US
Practice Address - Phone:718-331-1821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050468183500000X
NJ28RI02935300183500000X
CTPCT.0010967183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist