Provider Demographics
NPI:1093088767
Name:CAI, THI THUY (PHARM D)
Entity Type:Individual
Prefix:
First Name:THI
Middle Name:THUY
Last Name:CAI
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 1:10051 LARSON AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1034
Mailing Address - Country:US
Mailing Address - Phone:714-869-6447
Mailing Address - Fax:
Practice Address - Street 1:10051 LARSON AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1034
Practice Address - Country:US
Practice Address - Phone:714-869-6447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66784183500000X
FL46588183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist