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NPI Code Detail

MEDICARE: PHIL HOANG VO

MEDICARE: PHIL HOANG VO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist118128MN

General Provider Information

NPI Number : 1215308093
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHIL HOANG VO
Provider Business Mailing Address
First Line : 6303 PEBBLE LN SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-2521
Country : US
Telephone Number : 507-358-6950
Fax Number :
Provider Business Practice Location Address
First Line : 2020 COMMERCE DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-3246
Country : US
Telephone Number : 507-286-1870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2015
Last Update Date : 10/19/2015

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Directions to “ PHIL HOANG VO ” Practice Location

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