MEDICARE: CALVIN-THAI VO PHARMD

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	75942	CA

General Provider Information

NPI Number	:	1881108371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALVIN-THAI VO PHARMD

Provider Business Mailing Address
First Line	:	1027 CONCORD ST
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-2807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27975 BRADLEY RD
Second Line	:
City	:	SUN CITY
State	:	CA
Zip	:	92586-2273
Country	:	US
Telephone Number	:	951-246-3092
Fax Number	:

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

Provider Enumeration Date	:	11/20/2017
Last Update Date	:	11/20/2017

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Directions to “ CALVIN-THAI VO PHARMD” Practice Location

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