Provider Demographics
NPI:1114219649
Name:TON-NU, HONG-HANH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HONG-HANH
Middle Name:
Last Name:TON-NU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 FLORAL AVE
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662-2602
Mailing Address - Country:US
Mailing Address - Phone:559-896-7105
Mailing Address - Fax:559-896-3673
Practice Address - Street 1:2640 FLORAL AVE
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662-2602
Practice Address - Country:US
Practice Address - Phone:559-896-7105
Practice Address - Fax:559-896-3673
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52650183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist