=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588243463
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HONEY NGUYEN HONG PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2021
-----------------------------------------------------
Last Update Date | 04/06/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4497 MOBILE HWY
-----------------------------------------------------
City | PENSACOLA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32506-4209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-453-4848
-----------------------------------------------------
Fax | 850-453-4802
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8081 QUIET DR
-----------------------------------------------------
City | PENSACOLA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32526-5289
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-221-7446
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PS62196
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------