IndividualActive
Thang Vu
NPI 1134723299 · Pharmacist · Interlachen, FL
Provider details
- NPI number
- 1134723299
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PS59061 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1141 State Road 20
Interlachen, FL 32148-5406
Phone: (386) 684-4991
Fax: (386) 684-3029
Approximate (ZIP-level) locationGet directions
Mailing address
1141 State Road 20
Interlachen, FL 32148-5406
Registry dates
- Enumerated
- 2020-11-29
- Last updated
- 2020-11-29
- Certified
- 2020-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.