Provider Demographics
NPI:1457758021
Name:VO, HOAINAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOAINAM
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:PSC 80
Mailing Address - Street 2:BOX 14015
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96367-9998
Mailing Address - Country:US
Mailing Address - Phone:0701-411-5613
Mailing Address - Fax:
Practice Address - Street 1:PSC 80
Practice Address - Street 2:BOX 14015
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96367-9998
Practice Address - Country:US
Practice Address - Phone:0701-411-5613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist