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NPI Code Detail

MEDICARE: THUYNGOC T HOANG PHARMD

MEDICARE: THUYNGOC T HOANG PHARMD
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
1183500000XPharmacist0010725OR

General Provider Information

NPI Number : 1295945822
Entity Type Code : Individual
Provider Name (Legal Business Name) : THUYNGOC T HOANG PHARMD
Provider Business Mailing Address
First Line : 16610 NW AVONDALE DR
Second Line :
City : BEAVERTON
State : OR
Zip : 97006-7753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11619 ISLAND AVE
Second Line :
City : ISLAND CITY
State : OR
Zip : 97850-8459
Country : US
Telephone Number : 541-963-5460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 01/27/2016

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Directions to “ THUYNGOC T HOANG PHARMD” Practice Location

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