Provider Demographics
NPI:1700186855
Name:HWANG, DAVID S (PHARM D)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:HWANG
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 1:3110 BALFOUR RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5500
Mailing Address - Country:US
Mailing Address - Phone:925-626-6030
Mailing Address - Fax:925-626-6024
Practice Address - Street 1:3110 BALFOUR RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5500
Practice Address - Country:US
Practice Address - Phone:925-626-6030
Practice Address - Fax:925-626-6024
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist