Healthcare Provider Details

I. General information

NPI: 1780968719
Provider Name (Legal Business Name): TUY HOANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 S ALMA SCHOOL RD
CHANDLER AZ
85286-6905
US

IV. Provider business mailing address

1513 E GARY WAY
PHOENIX AZ
85042-6743
US

V. Phone/Fax

Practice location:
  • Phone: 480-722-1780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS018832
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: