Provider Demographics
NPI:1700370608
Name:HANG, EILEEN WONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:WONG
Last Name:HANG
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 1:799 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-1218
Mailing Address - Country:US
Mailing Address - Phone:415-561-0984
Mailing Address - Fax:415-805-7850
Practice Address - Street 1:799 BEACH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-1218
Practice Address - Country:US
Practice Address - Phone:415-561-0984
Practice Address - Fax:415-805-7850
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77302183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist