Provider Demographics
NPI:1568672400
Name:DO, VAN VIET (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:VAN
Middle Name:VIET
Last Name:DO
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 1:2418 HUMMEL CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2510
Mailing Address - Country:US
Mailing Address - Phone:408-528-9682
Mailing Address - Fax:408-287-5740
Practice Address - Street 1:2418 HUMMEL CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2510
Practice Address - Country:US
Practice Address - Phone:408-528-9682
Practice Address - Fax:408-287-5740
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA527171835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric