Provider Demographics
NPI:1962718866
Name:LUU, HUONG LY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HUONG
Middle Name:LY
Last Name:LUU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13200 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4646
Mailing Address - Country:US
Mailing Address - Phone:407-380-5625
Mailing Address - Fax:407-380-6743
Practice Address - Street 1:13200 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4646
Practice Address - Country:US
Practice Address - Phone:407-380-5625
Practice Address - Fax:407-380-6743
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist