Provider Demographics
NPI:1528690443
Name:VU, HANNAH H (RPH)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:H
Last Name:VU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11012 HAGEN RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1818
Mailing Address - Country:US
Mailing Address - Phone:832-248-8982
Mailing Address - Fax:
Practice Address - Street 1:100 S DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-4207
Practice Address - Country:US
Practice Address - Phone:405-741-0036
Practice Address - Fax:405-741-0032
Is Sole Proprietor?:No
Enumeration Date:2020-02-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist