Provider Demographics
NPI:1578847208
Name:TRINH, THOA THI (RPH)
Entity Type:Individual
Prefix:DR
First Name:THOA
Middle Name:THI
Last Name:TRINH
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 1:3630 SAN PABLO DAM RD
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94803-2730
Mailing Address - Country:US
Mailing Address - Phone:510-758-2365
Mailing Address - Fax:510-758-8590
Practice Address - Street 1:3630 SAN PABLO DAM RD
Practice Address - Street 2:
Practice Address - City:EL SOBRANTE
Practice Address - State:CA
Practice Address - Zip Code:94803-2730
Practice Address - Country:US
Practice Address - Phone:510-758-2365
Practice Address - Fax:510-758-8590
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist