Provider Demographics
NPI:1275295628
Name:DINH, HANH LUONG HONG
Entity Type:Individual
Prefix:
First Name:HANH
Middle Name:LUONG HONG
Last Name:DINH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 W VALENCIA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85746-6533
Mailing Address - Country:US
Mailing Address - Phone:520-639-7645
Mailing Address - Fax:520-639-7646
Practice Address - Street 1:1795 W VALENCIA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85746-6533
Practice Address - Country:US
Practice Address - Phone:520-639-7645
Practice Address - Fax:520-639-7646
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS025472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist