Provider Demographics
NPI:1669523494
Name:DO, NAM HOAI DOAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NAM
Middle Name:HOAI DOAN
Last Name:DO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NAM
Other - Middle Name:DOAN HOAI
Other - Last Name:DO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3826 CARRERA CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-3716
Mailing Address - Country:US
Mailing Address - Phone:415-309-9917
Mailing Address - Fax:408-238-3978
Practice Address - Street 1:2060 ABORN RD
Practice Address - Street 2:#150-B
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1584
Practice Address - Country:US
Practice Address - Phone:408-238-3968
Practice Address - Fax:408-238-3978
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist