DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. PHU TRUNG THAI PHARM.D.

MEDICARE:  DR. PHU TRUNG THAI  PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202206659VA
2183500000XPharmacist3417NH

General Provider Information

NPI Number : 1558631333
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHU TRUNG THAI PHARM.D.
Provider Business Mailing Address
First Line : 11290 W BROAD ST
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-5815
Country : US
Telephone Number : 804-360-8912
Fax Number : 804-360-8912
Provider Business Practice Location Address
First Line : 11290 W BROAD ST
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-5815
Country : US
Telephone Number : 804-360-8912
Fax Number : 804-360-8912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2012
Last Update Date : 01/10/2012

Similar Medicare Providers

1154343838 — VIRGINIA CVS PHARMACY LLC
Practice Location Address:
11290 W BROAD ST
GLEN ALLEN, VA
23060-5815
Practice Phone: 804-360-8912
Practice Fax: 804-588-4540
1265726210 — JEHAN K ABED PHARMD
Practice Location Address:
11290 W BROAD ST , T-1049
GLEN ALLEN, VA
23060-5815
Practice Phone: 804-360-8912
Practice Fax: 804-360-8912
1053698001 — MS. REBECCA DELL BROWN PHARMD
Practice Location Address:
11290 W BROAD ST
GLEN ALLEN, VA
23060-5815
Practice Phone: 804-360-8912
Practice Fax: 804-360-8912
1538591367 — NICOLE ANNEMARIE PIZARRO PHARMD
Practice Location Address:
11290 W BROAD ST
GLEN ALLEN, VA
23060-5815
Practice Phone: 804-360-8912
Practice Fax:
1174909782 — LUXOTTICA OF AMERICA INC.
Practice Location Address:
11290 W BROAD ST
GLEN ALLEN, VA
23060-5815
Practice Phone: 804-588-3621
Practice Fax:
1508235342 — DR. KIM E. MAURO, OD AND ASSOCIATES
Practice Location Address:
11290 W BROAD ST
GLEN ALLEN, VA
23060-5815
Practice Phone: 804-714-7272
Practice Fax:

Directions to “ DR. PHU TRUNG THAI PHARM.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.