Healthcare Provider Details

I. General information

NPI: 1528662426
Provider Name (Legal Business Name): LINH Q HOANG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 WILSON BLVD
ARLINGTON VA
22201-4419
US

IV. Provider business mailing address

3141 WILSON BLVD
ARLINGTON VA
22201-4419
US

V. Phone/Fax

Practice location:
  • Phone: 703-524-2635
  • Fax:
Mailing address:
  • Phone: 703-524-2635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202214205
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: