Provider Demographics
NPI:1962789552
Name:VO, THU-TRANG T (PHARM D)
Entity type:Individual
Prefix:MS
First Name:THU-TRANG
Middle Name:T
Last Name:VO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 SPRINGFIELD MALL
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1712
Mailing Address - Country:US
Mailing Address - Phone:703-921-9003
Mailing Address - Fax:703-921-9003
Practice Address - Street 1:6600 SPRINGFIELD MALL
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1712
Practice Address - Country:US
Practice Address - Phone:703-921-9003
Practice Address - Fax:703-921-9003
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202203153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist