Healthcare Provider Details

I. General information

NPI: 1336053651
Provider Name (Legal Business Name): DINH THIEN VO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 W OSBORN RD
PHOENIX AZ
85013-3808
US

IV. Provider business mailing address

650 E VAN BUREN ST
PHOENIX AZ
85004-2222
US

V. Phone/Fax

Practice location:
  • Phone: 602-285-0661
  • Fax:
Mailing address:
  • Phone: 602-827-2426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS028112
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: