Provider Demographics
NPI:1336531284
Name:HOCANNSON, LINH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINH
Middle Name:
Last Name:HOCANNSON
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 1:1265 AVENIDA AMISTAD
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-7387
Mailing Address - Country:US
Mailing Address - Phone:760-295-5655
Mailing Address - Fax:
Practice Address - Street 1:1265 AVENIDA AMISTAD
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-7387
Practice Address - Country:US
Practice Address - Phone:760-295-5655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 59403183500000X
NVRPH 17086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist