MEDICARE: ROSE THUHONG DINH RPH

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
1	183500000X	Pharmacist	74110	CA

General Provider Information

NPI Number	:	1932573284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE THUHONG DINH RPH

Provider Business Mailing Address
First Line	:	1695 N SUNRISE WAY
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-3701
Country	:	US
Telephone Number	:	760-325-9370
Fax Number	:

Provider Business Practice Location Address
First Line	:	2636 N INDIAN CANYON DR APT 1222
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-2042
Country	:	US
Telephone Number	:	714-600-7378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2015
Last Update Date	:	11/24/2015

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