Provider Demographics
NPI:1639471014
Name:DANG, HOAN DUC (RPH)
Entity Type:Individual
Prefix:MR
First Name:HOAN
Middle Name:DUC
Last Name:DANG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5821 CROSSROADS CTR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2307
Mailing Address - Country:US
Mailing Address - Phone:703-533-3802
Mailing Address - Fax:703-533-8656
Practice Address - Street 1:5821 CROSSROADS CTR
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2307
Practice Address - Country:US
Practice Address - Phone:703-533-3802
Practice Address - Fax:703-533-8656
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist