Provider Demographics
NPI:1497015960
Name:DINH, DACHAU
Entity Type:Individual
Prefix:
First Name:DACHAU
Middle Name:
Last Name:DINH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 ROSE HILL DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-1901
Mailing Address - Country:US
Mailing Address - Phone:703-971-2200
Mailing Address - Fax:703-971-8294
Practice Address - Street 1:6100 ROSE HILL DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-1901
Practice Address - Country:US
Practice Address - Phone:703-971-2200
Practice Address - Fax:703-971-8294
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist