Provider Demographics
NPI:1902373087
Name:OON, ALEX
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:OON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 AMADOR PLAZA RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2320
Mailing Address - Country:US
Mailing Address - Phone:925-241-0000
Mailing Address - Fax:
Practice Address - Street 1:7200 AMADOR PLAZA RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2320
Practice Address - Country:US
Practice Address - Phone:925-241-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist