Provider Demographics
NPI:1447572771
Name:DUONG, VO (RPH)
Entity type:Individual
Prefix:MR
First Name:VO
Middle Name:
Last Name:DUONG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2322 64TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-3324
Mailing Address - Country:US
Mailing Address - Phone:347-609-3699
Mailing Address - Fax:
Practice Address - Street 1:99 JOHN ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2903
Practice Address - Country:US
Practice Address - Phone:212-791-3801
Practice Address - Fax:212-791-3808
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047871-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist