Provider Demographics
NPI:1689900839
Name:VINH DISCOUNT PHARMACY,LLC
Entity Type:Organization
Organization Name:VINH DISCOUNT PHARMACY,LLC
Other - Org Name:MANHATTAN DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINH
Authorized Official - Middle Name:CONG
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:504-352-8955
Mailing Address - Street 1:851 MANHATTAN BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-4609
Mailing Address - Country:US
Mailing Address - Phone:504-252-9749
Mailing Address - Fax:
Practice Address - Street 1:5853 MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-5321
Practice Address - Country:US
Practice Address - Phone:504-352-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA61913336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy