Organization
DIEUTHAO PHARMACY
Active
Other names
DT Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIEUTHAO NGUYEN PHARM D. (OWNER)
(832) 725-8216
Entity
Organization
Contact information
Practice address
3911 WOODLAWN AVE, PASADENA, TX 77504-2054
(832) 775-0060
(713) 947-0062
Mailing address
3911 WOODLAWN AVE, PASADENA, TX 77504-2054
(832) 775-0060
(713) 947-0062
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149011
—
TX
01
—
2098806
PK
—
Enumeration date
05/08/2006
Last updated
09/20/2021
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