Provider Demographics
NPI:1730742875
Name:VO, RICHARD LUU
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LUU
Last Name:VO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9919 TARZO WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-3020
Mailing Address - Country:US
Mailing Address - Phone:916-477-3156
Mailing Address - Fax:916-391-7847
Practice Address - Street 1:7465 RUSH RIVER DR STE 500
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-5270
Practice Address - Country:US
Practice Address - Phone:916-391-1289
Practice Address - Fax:916-391-7847
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH49838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist