Provider Demographics
NPI:1598884751
Name:VO, MINHCHAU THI (RPH)
Entity Type:Individual
Prefix:
First Name:MINHCHAU
Middle Name:THI
Last Name:VO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12770 TROPIC DR N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-6229
Mailing Address - Country:US
Mailing Address - Phone:904-755-5306
Mailing Address - Fax:
Practice Address - Street 1:11380 BEACH BLVD STE 6
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-3897
Practice Address - Country:US
Practice Address - Phone:904-996-0888
Practice Address - Fax:904-998-7007
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0036426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist