Provider Demographics
NPI:1265785430
Name:DINH, ANH NGOC (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANH
Middle Name:NGOC
Last Name:DINH
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 1:10 HEATHERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-7464
Mailing Address - Country:US
Mailing Address - Phone:504-813-9050
Mailing Address - Fax:
Practice Address - Street 1:888 TERRY PKWY
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-5270
Practice Address - Country:US
Practice Address - Phone:504-392-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-12301183500000X
LA019677183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist