Provider Demographics
NPI:1568768091
Name:VINCENT, TRINH THUY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TRINH
Middle Name:THUY
Last Name:VINCENT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3602 COLE MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-1120
Mailing Address - Country:US
Mailing Address - Phone:704-321-9950
Mailing Address - Fax:
Practice Address - Street 1:4391 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5795
Practice Address - Country:US
Practice Address - Phone:704-535-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist