Provider Demographics
NPI:1346352523
Name:HOANG, DINH D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DINH
Middle Name:D
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 1:1310 NW 107TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-5445
Mailing Address - Country:US
Mailing Address - Phone:352-332-9606
Mailing Address - Fax:
Practice Address - Street 1:2202 N YOUNG BLVD
Practice Address - Street 2:#300
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32626-1914
Practice Address - Country:US
Practice Address - Phone:352-493-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist