Provider Demographics
NPI:1073880654
Name:DO, QUYNH HOANG (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:QUYNH
Middle Name:HOANG
Last Name:DO
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16210 E 49TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74134-7300
Mailing Address - Country:US
Mailing Address - Phone:918-724-6005
Mailing Address - Fax:
Practice Address - Street 1:9106 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5332
Practice Address - Country:US
Practice Address - Phone:918-492-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-25
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist