MEDICARE: TRINH 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
1	183500000X	Pharmacist	46472	TX

General Provider Information

NPI Number	:	1720469281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRINH VO

Provider Business Mailing Address
First Line	:	215 N CARRIER PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-5425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 N CARRIER PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-5425
Country	:	US
Telephone Number	:	972-642-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2015
Last Update Date	:	06/10/2015

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Directions to “ TRINH VO ” Practice Location

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