Provider Demographics
NPI:1649224072
Name:HOANG, TUONG NGOC (RPH)
Entity Type:Individual
Prefix:MR
First Name:TUONG
Middle Name:NGOC
Last Name:HOANG
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 1:3952 SUGAR BEET DR
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-3372
Mailing Address - Country:US
Mailing Address - Phone:801-967-3486
Mailing Address - Fax:
Practice Address - Street 1:3952 SUGAR BEET DR
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84120-3372
Practice Address - Country:US
Practice Address - Phone:801-967-3486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1539901701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist