Provider Demographics
NPI:1750392346
Name:NHA TRANG PHARMACY
Entity type:Organization
Organization Name:NHA TRANG PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:THANG LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-530-4500
Mailing Address - Street 1:6988 WILCREST DR
Mailing Address - Street 2:A 1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6988 WILCREST DR
Practice Address - Street 2:A 1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2625
Practice Address - Country:US
Practice Address - Phone:281-530-4500
Practice Address - Fax:281-530-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251213336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4542038OtherOTHER ID NUMBER-COMMERCIAL NUMBER