Provider Demographics
NPI:1285837989
Name:WENG, HIEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HIEN
Middle Name:
Last Name:WENG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HIEN
Other - Middle Name:THUC
Other - Last Name:THAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2880 SHADELANDS DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2517
Mailing Address - Country:US
Mailing Address - Phone:925-979-6863
Mailing Address - Fax:
Practice Address - Street 1:2880 SHADELANDS DR
Practice Address - Street 2:SUITE 201
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2517
Practice Address - Country:US
Practice Address - Phone:925-979-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55597183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist