Provider Demographics
NPI:1801127063
Name:LUONG, NGOC (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NGOC
Middle Name:
Last Name:LUONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:LUONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8911 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2911
Mailing Address - Country:US
Mailing Address - Phone:602-944-9635
Mailing Address - Fax:
Practice Address - Street 1:8911 N 7TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2911
Practice Address - Country:US
Practice Address - Phone:602-944-9635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist