Individual ProviderDavid Minh VuongPharmacistPharmacy Service ProvidersPractice Address101 Bodin Circle, Pharmacy, Travis Afb, CA 94535(707) 423-7656(215) 939-3404PECOS EnrollmentBased on the most recent information from CMS, provider David Minh Vuong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1881925386Provider TypeIndividualFull NameVuong, David MinhTitleDr.CredentialPHARM DGenderMaleSole ProprietorYesEnumeration Date1/22/2010Last Updated12/9/2014Contact InformationPractice LocationPractice Address101 Bodin Circle, Pharmacy, Travis Afb, CA 94535Phone(707) 423-7656FaxUnlisted FaxMailing LocationMailing Address6801 Leisure Town Rd, Apt 12, Vacaville, CA 95688-9432Phone(215) 939-3404FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP444378PennsylvaniaCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense20799North Carolina