Individual
ANDREW THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
653 S STATE ST, UKIAH, CA 95482-4912
(707) 467-2700
Mailing address
506 S MAIN STREET UNIT# C, UKIAH, CA 95482
(916) 627-0209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54591
CA
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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