Johnny K Thai
Pharmacist, Ambulatory Care in Oakland, CA. Individual provider (NPI-1).
NPI number1164069340
StatusActive
Last updated in NPPESDec 17, 2021
Details
- NPI
- 1164069340
- Entity type
- Individual (NPI-1)
- Name
- Johnny K Thai
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2019
- Certification date
- Dec 17, 2021
- Last updated
- Dec 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P2201X | Pharmacist, Ambulatory Care | 79259 | CA | Yes |
Practice location
3600 BroadwayOakland, CA 94611-5730
Phone 510-752-1000
Mailing address
3600 BroadwayOakland, CA 94611-5730
Phone 415-203-5142
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All 22 Ambulatory Care Pharmacist providers in Oakland · All 20,942 providers in Oakland
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