Healthcare Provider Details

I. General information

NPI: 1568805208
Provider Name (Legal Business Name): VY HOANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 04/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7610 122ND PL SE
NEWCASTLE WA
98056-1250
US

IV. Provider business mailing address

7610 122ND PL SE
NEWCASTLE WA
98056-1250
US

V. Phone/Fax

Practice location:
  • Phone: 425-226-2329
  • Fax:
Mailing address:
  • Phone: 425-226-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60283554
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: