Provider Demographics
NPI:1417230046
Name:DINH, THUY-TRANG THUY (PHARM D)
Entity Type:Individual
Prefix:
First Name:THUY-TRANG
Middle Name:THUY
Last Name:DINH
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 1:4181 OCEANSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-6004
Mailing Address - Country:US
Mailing Address - Phone:760-536-7330
Mailing Address - Fax:760-536-7336
Practice Address - Street 1:4181 OCEANSIDE BLVD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-6004
Practice Address - Country:US
Practice Address - Phone:760-536-7330
Practice Address - Fax:760-536-7336
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist