Healthcare Provider Details
I. General information
NPI: 1669427225
Provider Name (Legal Business Name): TNH INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 10/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18625 SHERMAN WAY STE 107
RESEDA CA
91335-4148
US
IV. Provider business mailing address
18625 SHERMAN WAY STE 107
RESEDA CA
91335-4148
US
V. Phone/Fax
- Phone: 818-881-2998
- Fax: 818-881-2908
- Phone: 818-881-2998
- Fax: 818-881-2908
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PHY47510 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336I0012X |
| Taxonomy | Institutional Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAN
HOANG
Title or Position: OWNER
Credential: PHARM.D
Phone: 818-830-2088