Provider Demographics
NPI:1528357266
Name:DIEP, DAT QUOC (PHARMD)
Entity Type:Individual
Prefix:
First Name:DAT
Middle Name:QUOC
Last Name:DIEP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W EAST AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-7215
Mailing Address - Country:US
Mailing Address - Phone:530-343-9495
Mailing Address - Fax:530-343-2378
Practice Address - Street 1:220 W EAST AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-7215
Practice Address - Country:US
Practice Address - Phone:530-343-9495
Practice Address - Fax:530-343-2378
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist