Provider Demographics
NPI:1780967885
Name:DINH, VINCENT H (RPH)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:H
Last Name:DINH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 CENTER SQ
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-2446
Mailing Address - Country:US
Mailing Address - Phone:617-413-4784
Mailing Address - Fax:
Practice Address - Street 1:54 CENTER SQ
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-2446
Practice Address - Country:US
Practice Address - Phone:413-526-9664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-25
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH25561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist