Provider Demographics
NPI:1346540655
Name:DOAN, THANH HUU (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:THANH
Middle Name:HUU
Last Name:DOAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:MR
Other - First Name:TINO
Other - Middle Name:
Other - Last Name:DOAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6477 ALMADEN EXPY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-2902
Mailing Address - Country:US
Mailing Address - Phone:408-323-2013
Mailing Address - Fax:408-323-2022
Practice Address - Street 1:6477 ALMADEN EXPY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95120-2902
Practice Address - Country:US
Practice Address - Phone:408-323-2013
Practice Address - Fax:408-323-2022
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 46058183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist