Provider Demographics
NPI:1114643384
Name:DINH, TAM THUY UYEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAM
Middle Name:THUY UYEN
Last Name:DINH
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 1:711 3RD AVE NE APT 1
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:WA
Mailing Address - Zip Code:98823-1776
Mailing Address - Country:US
Mailing Address - Phone:206-565-6921
Mailing Address - Fax:
Practice Address - Street 1:1150 BASIN ST SW
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-2138
Practice Address - Country:US
Practice Address - Phone:509-754-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61199858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist