Pham, Thai

Pham, Thai is an individual health care provider with primary practice located at 100 E Main St , Midlothian TX 76065-3063. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Pham, Thai can be contacted via phone (972) 775-8203.

Contact Information

Primary practice address
100 E Main St Midlothian TX 76065-3063
Phone: (972) 775-8203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 65969 Texas
Pharmacy Service Providers / Pharmacist 183500000X 65969 Texas

Profile Details

NPI number 1336743418
LBN Legal business name Pham, Thai
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2020
Last updated Nov 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336743418 NPPES
Texas Other 36217941 CVS

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