Provider Demographics
NPI:1194126672
Name:VU, MICHAEL LE NHAT THIEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LE NHAT THIEN
Last Name:VU
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 1:1644 JUTLAND DR
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4331
Mailing Address - Country:US
Mailing Address - Phone:209-915-8111
Mailing Address - Fax:
Practice Address - Street 1:1644 JUTLAND DR
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4331
Practice Address - Country:US
Practice Address - Phone:209-915-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020773183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist