Provider Demographics
NPI:1750753711
Name:HOANG, STEVE SON HONG (PHARMD)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:SON HONG
Last Name:HOANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:SON
Other - Middle Name:HONG
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11929 W CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-3094
Mailing Address - Country:US
Mailing Address - Phone:714-360-8166
Mailing Address - Fax:
Practice Address - Street 1:16750 W BELL RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-9539
Practice Address - Country:US
Practice Address - Phone:623-546-8246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS021268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist