Provider Demographics
NPI:1932570157
Name:VO, JULIE PHAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:PHAM
Last Name:VO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MAI
Other - Middle Name:KIM
Other - Last Name:PHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17502 BARNHOUSE LANE
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447
Mailing Address - Country:US
Mailing Address - Phone:281-412-3305
Mailing Address - Fax:
Practice Address - Street 1:17502 BARNHOUSE LANE
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447
Practice Address - Country:US
Practice Address - Phone:281-412-3305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist