Provider Demographics
NPI:1437475597
Name:HOANG, SYDNEY HANHDAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:HANHDAN
Last Name:HOANG
Suffix:
Gender:F
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 1:1411 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-4967
Mailing Address - Country:US
Mailing Address - Phone:252-430-7504
Mailing Address - Fax:252-430-8139
Practice Address - Street 1:1411 OXFORD RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-4967
Practice Address - Country:US
Practice Address - Phone:252-430-7504
Practice Address - Fax:252-430-8139
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC015657183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist