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NPI Code Detail

MEDICARE: ANNA HOANG

MEDICARE: ANNA HOANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS40780FL

General Provider Information

NPI Number : 1275042996
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA HOANG
Provider Business Mailing Address
First Line : 9156 PAISLEY CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-8021
Country : US
Telephone Number : 904-383-0803
Fax Number :
Provider Business Practice Location Address
First Line : 12145 SAN JOSE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-2636
Country : US
Telephone Number : 904-262-6808
Fax Number : 904-292-1836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 09/26/2017

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Directions to “ ANNA HOANG ” Practice Location

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