Provider Demographics
NPI:1912627829
Name:LUU, ANDREW
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:LUU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22125 CUMBERLAND RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6494
Mailing Address - Country:US
Mailing Address - Phone:281-758-1031
Mailing Address - Fax:281-547-7314
Practice Address - Street 1:22125 CUMBERLAND RIDGE DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6494
Practice Address - Country:US
Practice Address - Phone:281-758-1031
Practice Address - Fax:281-547-7413
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist