Provider Demographics
NPI:1942520945
Name:LAI, HUNG (PHARMD)
Entity Type:Individual
Prefix:
First Name:HUNG
Middle Name:
Last Name:LAI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9727 CARRIAGE HILL LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6970
Mailing Address - Country:US
Mailing Address - Phone:469-226-5958
Mailing Address - Fax:
Practice Address - Street 1:813 N JUPITER RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5439
Practice Address - Country:US
Practice Address - Phone:469-909-6430
Practice Address - Fax:469-277-3922
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist