Provider Demographics
NPI:1134403132
Name:VO, TU ANH T (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TU ANH
Middle Name:T
Last Name:VO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2840
Mailing Address - Country:US
Mailing Address - Phone:781-871-5849
Mailing Address - Fax:781-871-9510
Practice Address - Street 1:75 MARKET ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-2603
Practice Address - Country:US
Practice Address - Phone:781-871-5849
Practice Address - Fax:781-871-9510
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH27473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist