Provider Demographics
NPI:1932702800
Name:VINH, THIEN THANH (PHARMD)
Entity Type:Individual
Prefix:
First Name:THIEN
Middle Name:THANH
Last Name:VINH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 E OVERLAND TRL STE B
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-6607
Mailing Address - Country:US
Mailing Address - Phone:325-267-6788
Mailing Address - Fax:888-390-6727
Practice Address - Street 1:2118 E OVERLAND TRL STE B
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-6607
Practice Address - Country:US
Practice Address - Phone:325-267-6788
Practice Address - Fax:888-390-6727
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX63013OtherTEXAS STATE BOARD OF PHARMACY