Provider Demographics
NPI:1205142601
Name:VO, HUY (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:HUY
Middle Name:
Last Name:VO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10148 DECIMA DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7048
Mailing Address - Country:US
Mailing Address - Phone:714-775-6412
Mailing Address - Fax:
Practice Address - Street 1:13822 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-3121
Practice Address - Country:US
Practice Address - Phone:714-530-3136
Practice Address - Fax:714-530-5235
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist