Provider Demographics
NPI:1528734654
Name:THAI, ANH TU (PHARMD)
Entity type:Individual
Prefix:MS
First Name:ANH
Middle Name:TU
Last Name:THAI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9209 COLIMA RD STE 1100
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1863
Mailing Address - Country:US
Mailing Address - Phone:626-264-7880
Mailing Address - Fax:
Practice Address - Street 1:9209 COLIMA RD STE 1100
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1863
Practice Address - Country:US
Practice Address - Phone:562-789-5852
Practice Address - Fax:562-789-5854
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist