Provider Demographics
NPI:1730289604
Name:TRINH, THAO (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:THAO
Middle Name:
Last Name:TRINH
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 1:650 BELLADONNA CT APT 1
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-7713
Mailing Address - Country:US
Mailing Address - Phone:714-398-8351
Mailing Address - Fax:
Practice Address - Street 1:3801 MIRANDA AVE # 119
Practice Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist