Healthcare Provider Details

I. General information

NPI: 1346628831
Provider Name (Legal Business Name): AARON HOANG PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 05/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 S 38TH ST
TACOMA WA
98418-5028
US

IV. Provider business mailing address

3719 S G ST
TACOMA WA
98418-6726
US

V. Phone/Fax

Practice location:
  • Phone: 253-473-1155
  • Fax:
Mailing address:
  • Phone: 253-232-0015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberIR60231935
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: