Provider Demographics
NPI:1508583055
Name:DINH, PHILIP DUY (PHARM D)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:DUY
Last Name:DINH
Suffix:
Gender:M
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 1:7458 UNIVERSAL BLVD UNIT 4120
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9262
Mailing Address - Country:US
Mailing Address - Phone:260-425-0324
Mailing Address - Fax:
Practice Address - Street 1:7458 UNIVERSAL BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9210
Practice Address - Country:US
Practice Address - Phone:260-425-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS65044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist