Provider Demographics
NPI:1730460213
Name:CHINOWTH, DONGHA THI (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:DONGHA
Middle Name:THI
Last Name:CHINOWTH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HA
Other - Middle Name:THI
Other - Last Name:CHINOWTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9106 S SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5332
Mailing Address - Country:US
Mailing Address - Phone:918-492-3735
Mailing Address - Fax:918-492-3096
Practice Address - Street 1:9106 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5332
Practice Address - Country:US
Practice Address - Phone:918-492-3735
Practice Address - Fax:918-492-3096
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist