Provider Demographics
NPI:1831592666
Name:DUONG, SHARRON (CPHT)
Entity type:Individual
Prefix:MS
First Name:SHARRON
Middle Name:
Last Name:DUONG
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 CHAPMAN RD
Mailing Address - Street 2:BRISTOL BUILDING, SUITE 100
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:248 CHAPMAN RD
Practice Address - Street 2:BRISTOL BUILDING, SUITE 100
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5447
Practice Address - Country:US
Practice Address - Phone:302-454-7622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
327913OtherNABP