Provider Demographics
NPI:1932466224
Name:DINH, THUONG (PHARRMD)
Entity Type:Individual
Prefix:MR
First Name:THUONG
Middle Name:
Last Name:DINH
Suffix:
Gender:M
Credentials:PHARRMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 LENNON LN FL 3
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2414
Mailing Address - Country:US
Mailing Address - Phone:925-926-7557
Mailing Address - Fax:
Practice Address - Street 1:975 SERENO DR
Practice Address - Street 2:KAISER INPATIENT PHARMACY 3RD FLOOR
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2441
Practice Address - Country:US
Practice Address - Phone:707-651-2008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist