Provider Demographics
NPI:1144765371
Name:DO, AI-HUONG (PHARM D)
Entity Type:Individual
Prefix:
First Name:AI-HUONG
Middle Name:
Last Name:DO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 FREEDOM BLVD
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:CA
Mailing Address - Zip Code:95019-3025
Mailing Address - Country:US
Mailing Address - Phone:831-728-9324
Mailing Address - Fax:
Practice Address - Street 1:1702 FREEDOM BLVD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:CA
Practice Address - Zip Code:95019-3025
Practice Address - Country:US
Practice Address - Phone:831-728-9324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-25
Last Update Date:2016-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist