Healthcare Provider Details

I. General information

NPI: 1639545445
Provider Name (Legal Business Name): CINDY HOANG CAO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2015
Last Update Date: 08/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11710 ALPHARETTA HWY
ROSWELL GA
30076-3807
US

IV. Provider business mailing address

110 TRAMMELL CT
ALPHARETTA GA
30009-1841
US

V. Phone/Fax

Practice location:
  • Phone: 770-754-0141
  • Fax:
Mailing address:
  • Phone: 404-932-3205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH021382
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: