Healthcare Provider Details

I. General information

NPI: 1386472223
Provider Name (Legal Business Name): KHANH-UYEN HIEN DUONG PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 N 12TH AVE
HANFORD CA
93230-5971
US

IV. Provider business mailing address

140 N 12TH AVE
HANFORD CA
93230-5971
US

V. Phone/Fax

Practice location:
  • Phone: 559-240-1187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number89546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: