Provider Demographics
NPI:1588934319
Name:THAI, BRIAN QUY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:QUY
Last Name:THAI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9553 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2141
Mailing Address - Country:US
Mailing Address - Phone:626-282-8633
Mailing Address - Fax:626-282-8655
Practice Address - Street 1:349 E MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-7909
Practice Address - Country:US
Practice Address - Phone:626-755-4072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH60005183500000X
CA60005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist