Healthcare Provider Details

I. General information

NPI: 1841072717
Provider Name (Legal Business Name): BRITTANY HOANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 SHREVEPORT HWY # 71
PINEVILLE LA
71360-4044
US

IV. Provider business mailing address

2145 HORSESHOE DR APT 7108
ALEXANDRIA LA
71301-2016
US

V. Phone/Fax

Practice location:
  • Phone: 318-466-4310
  • Fax:
Mailing address:
  • Phone: 225-274-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.024156
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: