Provider Demographics
NPI:1821102526
Name:NGO, HANH K (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HANH
Middle Name:K
Last Name:NGO
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 1:320 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1021
Mailing Address - Country:US
Mailing Address - Phone:508-767-1732
Mailing Address - Fax:508-767-0694
Practice Address - Street 1:320 PARK AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-1021
Practice Address - Country:US
Practice Address - Phone:508-767-1732
Practice Address - Fax:508-767-0694
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist