Provider Demographics
NPI:1295346971
Name:VO, JENNY THAO (RPH)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:THAO
Last Name:VO
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 EUREKA TOWNE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025-1031
Mailing Address - Country:US
Mailing Address - Phone:636-938-9425
Mailing Address - Fax:
Practice Address - Street 1:131 EUREKA TOWNE CENTER DR
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-1031
Practice Address - Country:US
Practice Address - Phone:636-938-9425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS024809183500000X
MO2021051178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist