Provider Demographics
NPI:1942813845
Name:HA, NAM-THI TIFFANY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NAM-THI
Middle Name:TIFFANY
Last Name:HA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:817 BOTETOURT CT STE 103
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4886
Mailing Address - Country:US
Mailing Address - Phone:757-410-2775
Mailing Address - Fax:
Practice Address - Street 1:817 BOTETOURT CT STE 103
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4886
Practice Address - Country:US
Practice Address - Phone:757-410-2775
Practice Address - Fax:757-410-2790
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist