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NPI 1417538604

IndividualActive

Ivy Vu

NPI 1417538604 · Geriatric Pharmacist · Fresno, CA

Provider details

NPI number: 1417538604
Entity type: Individual
Primary specialty: Geriatric PharmacistPharmacy Service Providers
Sex: Female
Sole proprietor: Yes
License: 52784 (CA)

Practice location

4910 E Ashlan Ave

Fresno, CA 93726-3020

Phone: (800) 499-9079

More CA providers

Mailing address

4910 E Ashlan Ave

Fresno, CA 93726-3020

Registry dates

Enumerated: 2021-04-19
Last updated: 2021-04-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ivy Vu — NPI 1417538604, Fresno, CA | NPI Central