Provider Demographics
NPI:1255600409
Name:DINH, HUU KHANH (PHARMD)
Entity type:Individual
Prefix:
First Name:HUU
Middle Name:KHANH
Last Name:DINH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7644 PARK BLVD N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3755
Mailing Address - Country:US
Mailing Address - Phone:727-685-0268
Mailing Address - Fax:727-685-0481
Practice Address - Street 1:7644 PARK BLVD N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3755
Practice Address - Country:US
Practice Address - Phone:727-685-0268
Practice Address - Fax:727-685-0481
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist