Most Relevant Information
Provider Data
| NPI Number: | 1003438912 |
| Provider Name: | JUSTIN VINH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 64236 |
Most Important Dates
| Enumeration Date: | 05/13/2020 |
| Last Updated: | 12/16/2022 |
Provider Practice Location
18207 MIDWAY RD
DALLAS
TX
752874902
Practice Location Phone/Fax
| Phone: | 9723077556 |
| Fax: |
Provider Mailing Location
983 MALLARD DR
COPPELL
TX
750196905
Provider Mailing Phone/Fax
| Phone: | 2146972785 |
| Fax: |