Anna Vu
Individual provider Active NPI Pharmacist · Mounds, OK
NPI 1376929422 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1376929422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16240 (OK)
- Practice address
- 1419 Commercial Ave
Mounds, OK 74047 - Phone
- (918) 827-6301
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16240 | OK | Yes |
Addresses
Primary practice location
1419 Commercial Ave
Mounds, OK 74047
Mailing address
11900 Blueridge CT
Oklahoma City, OK 73162-1098
Phone (405) 371-9313
Other providers in Mounds, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.