Provider Demographics
NPI:1558863753
Name:HONG, HYECHONG (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:HYECHONG
Middle Name:
Last Name:HONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 KAPIOLANI BLVD APT 1506
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2881
Mailing Address - Country:US
Mailing Address - Phone:808-226-5311
Mailing Address - Fax:
Practice Address - Street 1:1030 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2114
Practice Address - Country:US
Practice Address - Phone:808-591-8402
Practice Address - Fax:808-591-8408
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH29503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy