Individual
DR. PHU TRUNG THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
11290 W BROAD ST, GLEN ALLEN, VA 23060-5815
(804) 360-8912
(804) 360-8912
Mailing address
11290 W BROAD ST, GLEN ALLEN, VA 23060-5815
(804) 360-8912
(804) 360-8912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206659
VA
183500000X
Pharmacist
3417
NH
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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