Provider Demographics
NPI:1700421815
Name:DOAN, HAI QUANG (PHARMD)
Entity Type:Individual
Prefix:
First Name:HAI
Middle Name:QUANG
Last Name:DOAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6773
Mailing Address - Country:US
Mailing Address - Phone:954-749-5781
Mailing Address - Fax:954-749-6686
Practice Address - Street 1:3306 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6773
Practice Address - Country:US
Practice Address - Phone:954-749-5781
Practice Address - Fax:954-749-6686
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-12
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55680183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist