Healthcare Provider Details

I. General information

NPI: 1932401007
Provider Name (Legal Business Name): BAO PHUONG FRANCOISE HOANG PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2010
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N HARRISON ST
ARLINGTON VA
22207-1600
US

IV. Provider business mailing address

4127 RIVER FORTH DR
FAIRFAX VA
22030-8570
US

V. Phone/Fax

Practice location:
  • Phone: 703-538-6911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202209456
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: