Healthcare Provider Details

I. General information

NPI: 1821877820
Provider Name (Legal Business Name): HOA THINH HANG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2643 SENTER RD STE A
SAN JOSE CA
95111-1184
US

IV. Provider business mailing address

250 S PARK VICTORIA DR
MILPITAS CA
95035-5725
US

V. Phone/Fax

Practice location:
  • Phone: 408-287-4899
  • Fax:
Mailing address:
  • Phone: 408-209-4957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number86373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: