Provider Demographics
NPI:1699379610
Name:VO, DAVID (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:VO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 CHAMBERLAIN HWY
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-1818
Mailing Address - Country:US
Mailing Address - Phone:203-634-6060
Mailing Address - Fax:
Practice Address - Street 1:474 CHAMBERLAIN HWY
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-1818
Practice Address - Country:US
Practice Address - Phone:203-634-6060
Practice Address - Fax:203-427-2960
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH83390183500000X
MAPH28810183500000X
CTPCT14660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist