Provider Demographics
NPI:1720735699
Name:DOAN, LINH N (RPH)
Entity Type:Individual
Prefix:
First Name:LINH
Middle Name:N
Last Name:DOAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 TRAIL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3555
Mailing Address - Country:US
Mailing Address - Phone:571-232-3130
Mailing Address - Fax:
Practice Address - Street 1:1115 E PIONEER PKWY STE 103
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5853
Practice Address - Country:US
Practice Address - Phone:817-583-6998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist