Provider Demographics
NPI:1033491618
Name:VOOS, TRISTA (PHARMD)
Entity Type:Individual
Prefix:
First Name:TRISTA
Middle Name:
Last Name:VOOS
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 1:11830 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1366
Mailing Address - Country:US
Mailing Address - Phone:913-433-2359
Mailing Address - Fax:913-433-2365
Practice Address - Street 1:11830 W 75TH ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66214-1366
Practice Address - Country:US
Practice Address - Phone:913-433-2359
Practice Address - Fax:913-433-2365
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-128871835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist