Healthcare Provider Details

I. General information

NPI: 1932203999
Provider Name (Legal Business Name): THAIP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 INDUSTRIAL MILE RD STE E
COLUMBUS OH
43228-2482
US

IV. Provider business mailing address

455 INDUSTRIAL MILE RD STE E
COLUMBUS OH
43228-2482
US

V. Phone/Fax

Practice location:
  • Phone: 614-358-6500
  • Fax: 614-358-6501
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number021270700
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. THAI PHAM
Title or Position: OWNER
Credential: RPH
Phone: 614-206-9879