Provider Demographics
NPI:1386892883
Name:DO, QUYNH CHI N (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:QUYNH CHI
Middle Name:N
Last Name:DO
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 BOB HANNAH DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-3380
Mailing Address - Country:US
Mailing Address - Phone:770-807-7779
Mailing Address - Fax:770-825-9967
Practice Address - Street 1:5456 JIMMY CARTER BLVD
Practice Address - Street 2:160
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1543
Practice Address - Country:US
Practice Address - Phone:770-807-7779
Practice Address - Fax:770-825-9967
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist