Provider Demographics
NPI:1821442658
Name:DANG, HUY XUAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:XUAN
Last Name:DANG
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 1:825 CENTRAL VALLEY HWY STE A
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-2079
Mailing Address - Country:US
Mailing Address - Phone:661-746-5600
Mailing Address - Fax:617-464-9786
Practice Address - Street 1:825 CENTRAL VALLEY HWY STE A
Practice Address - Street 2:
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263
Practice Address - Country:US
Practice Address - Phone:661-746-5600
Practice Address - Fax:661-746-4978
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist