Provider Demographics
NPI:1447673330
Name:VINLUAN, CELESTE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:
Last Name:VINLUAN
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 1:500 W UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79968-8900
Mailing Address - Country:US
Mailing Address - Phone:915-747-8302
Mailing Address - Fax:915-747-8521
Practice Address - Street 1:500 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79968-8900
Practice Address - Country:US
Practice Address - Phone:915-747-8302
Practice Address - Fax:915-747-8521
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057636183500000X
TX537441835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist