Provider Demographics
NPI:1922511195
Name:HOANG, AARON (PHARM D)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:HOANG
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 1:8482 COMPTON DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-3104
Mailing Address - Country:US
Mailing Address - Phone:714-600-7673
Mailing Address - Fax:714-600-7673
Practice Address - Street 1:2330 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3253
Practice Address - Country:US
Practice Address - Phone:714-327-1884
Practice Address - Fax:714-327-1886
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-10
Last Update Date:2017-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist