Provider Demographics
NPI:1326454075
Name:HOANG, HENRY PHI (PHARMD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:PHI
Last Name:HOANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LAJES FIELD 65 MDG / SGSD
Mailing Address - Street 2:UNIT 7745
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09720-7745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LAJES FIELD 65 MDG / SGSD
Practice Address - Street 2:UNIT 7745
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09720-7745
Practice Address - Country:US
Practice Address - Phone:01135129-557-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist