Provider Demographics
NPI:1114528833
Name:TA, NGHIA THUY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NGHIA
Middle Name:THUY
Last Name:TA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24207 CAMILLIA RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3521
Mailing Address - Country:US
Mailing Address - Phone:281-371-0299
Mailing Address - Fax:
Practice Address - Street 1:10750 WESTVIEW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5019
Practice Address - Country:US
Practice Address - Phone:713-984-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist