Provider Demographics
NPI:1508955527
Name:VOVAN, CAROLINE NGUYEN THANH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:NGUYEN THANH
Last Name:VOVAN
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 1:24411 HEALTH CENTER DR STE 608
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3651
Mailing Address - Country:US
Mailing Address - Phone:949-607-6896
Mailing Address - Fax:949-455-2795
Practice Address - Street 1:24411 HEALTH CENTER DR STE 608
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3651
Practice Address - Country:US
Practice Address - Phone:949-716-6221
Practice Address - Fax:949-455-2795
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist