Provider Demographics
NPI:1235905126
Name:CAO, THUYLINH THI (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:THUYLINH
Middle Name:THI
Last Name:CAO
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6679 PLEASANT VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-2533
Mailing Address - Country:US
Mailing Address - Phone:678-644-0725
Mailing Address - Fax:
Practice Address - Street 1:5095 MOUNT ZION PKWY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7825
Practice Address - Country:US
Practice Address - Phone:770-507-0576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist