Provider Demographics
NPI:1588053474
Name:VO, UYEN (RPH)
Entity type:Individual
Prefix:
First Name:UYEN
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2980 E CAPITOL EXPY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-4246
Mailing Address - Country:US
Mailing Address - Phone:408-274-5939
Mailing Address - Fax:408-274-5954
Practice Address - Street 1:2980 E CAPITOL EXPY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-4246
Practice Address - Country:US
Practice Address - Phone:408-274-5939
Practice Address - Fax:408-274-5954
Is Sole Proprietor?:No
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH55570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH55570OtherPHARMACIST LICENSE