Provider Demographics
NPI:1841881372
Name:THAI, DANNY (PHARMD)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:
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 1:321 N BUFFALO DR STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-0308
Mailing Address - Country:US
Mailing Address - Phone:702-909-4072
Mailing Address - Fax:
Practice Address - Street 1:321 N BUFFALO DR STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-0308
Practice Address - Country:US
Practice Address - Phone:702-909-4072
Practice Address - Fax:702-909-4073
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist