Provider Demographics
NPI:1336434901
Name:DANG, TERESA HONG (PHARMD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:HONG
Last Name:DANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 WHIPPLE RD
Mailing Address - Street 2:T-1472
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-7807
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2499 WHIPPLE RD
Practice Address - Street 2:T-1472
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-7807
Practice Address - Country:US
Practice Address - Phone:510-471-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH64789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist