Provider Demographics
NPI:1407088628
Name:PHAM, HOA H (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:HOA
Middle Name:H
Last Name:PHAM
Suffix:
Gender:M
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 1:3307 BELT LINE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-6913
Mailing Address - Country:US
Mailing Address - Phone:469-304-0062
Mailing Address - Fax:469-356-1217
Practice Address - Street 1:3307 BELT LINE RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-6913
Practice Address - Country:US
Practice Address - Phone:469-304-0062
Practice Address - Fax:469-304-0063
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007335183500000X
TX48351183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist