Provider Demographics
NPI:1568127561
Name:VO, THU HUONG THI (PHARMD)
Entity Type:Individual
Prefix:
First Name:THU HUONG
Middle Name:THI
Last Name:VO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HUONG
Other - Middle Name:THI
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1600 E CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-2174
Mailing Address - Country:US
Mailing Address - Phone:509-248-3855
Mailing Address - Fax:
Practice Address - Street 1:1600 E CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2174
Practice Address - Country:US
Practice Address - Phone:509-248-3855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61190885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist