Provider Demographics
NPI:1922366715
Name:DOAN, RICHARD C (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:C
Last Name:DOAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:MR
Other - First Name:RICK
Other - Middle Name:C
Other - Last Name:DOAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:19661 DITMAR LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-3111
Mailing Address - Country:US
Mailing Address - Phone:714-651-7038
Mailing Address - Fax:
Practice Address - Street 1:3030 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-2562
Practice Address - Country:US
Practice Address - Phone:714-420-5561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist