Provider Demographics
NPI:1780985499
Name:TRINH, TAMMY TUYET (RPH)
Entity type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:TUYET
Last Name:TRINH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4416 WESTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-1257
Mailing Address - Country:US
Mailing Address - Phone:703-503-9168
Mailing Address - Fax:
Practice Address - Street 1:10350 WILLARD WAY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2508
Practice Address - Country:US
Practice Address - Phone:703-273-1333
Practice Address - Fax:703-591-5730
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202007958183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist