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TUAN DINH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1164843462

Individual Registrant:
 TUAN  DINH 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4823 S HIGHWAY 95  FORT MOHAVE, AZ 86426-8314 US
Tel: 828-704-4443  Fax: --

Contact information for business:
600 HIGHWAY 95  BULLHEAD CITY, AZ 86429-5007 US
Tel: --  Fax: --

Registration Information:
NPI: 1164843462
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AZS0202058

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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