Provider Demographics
NPI:1871106872
Name:VO, DENNIS VAN (RPH)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:VAN
Last Name:VO
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 1:4 SANBORN RD
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5784
Mailing Address - Country:US
Mailing Address - Phone:603-286-1932
Mailing Address - Fax:603-286-1938
Practice Address - Street 1:4 SANBORN RD
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5784
Practice Address - Country:US
Practice Address - Phone:603-286-1932
Practice Address - Fax:603-286-1938
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHCY-00950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist