Provider Demographics
NPI:1417590472
Name:CHAU, NGOC-ANH THI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NGOC-ANH
Middle Name:THI
Last Name:CHAU
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 1:4324 SW 72ND WAY
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-3149
Mailing Address - Country:US
Mailing Address - Phone:319-400-7817
Mailing Address - Fax:
Practice Address - Street 1:4324 SW 72ND WAY
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-3149
Practice Address - Country:US
Practice Address - Phone:319-400-7817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist