Provider Demographics
NPI:1053471326
Name:CUNG, THUY THANH (PHARM D)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:THANH
Last Name:CUNG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 LAWRENCE EXPY
Mailing Address - Street 2:CLINICAL PHARMACY DEPT
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5173
Mailing Address - Country:US
Mailing Address - Phone:408-851-0089
Mailing Address - Fax:408-851-3935
Practice Address - Street 1:710 LAWRENCE EXPY
Practice Address - Street 2:CLINICAL PHARMACY DEPT
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-851-0089
Practice Address - Fax:408-851-3935
Is Sole Proprietor?:No
Enumeration Date:2006-12-09
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57351183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist