Provider Demographics
NPI:1700381985
Name:HOANG, NHAT ANH (RPH)
Entity Type:Individual
Prefix:
First Name:NHAT
Middle Name:ANH
Last Name:HOANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6895 E SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-0831
Mailing Address - Country:US
Mailing Address - Phone:520-615-4800
Mailing Address - Fax:520-615-8866
Practice Address - Street 1:6895 E SUNRISE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-0831
Practice Address - Country:US
Practice Address - Phone:520-615-4800
Practice Address - Fax:520-615-8866
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist