Provider Demographics
NPI:1912308594
Name:LAI, HALI NGOC (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:HALI
Middle Name:NGOC
Last Name:LAI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5764 102ND AVE N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-3306
Mailing Address - Country:US
Mailing Address - Phone:727-546-7791
Mailing Address - Fax:
Practice Address - Street 1:7333 PARK BLVD N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2922
Practice Address - Country:US
Practice Address - Phone:727-546-7791
Practice Address - Fax:727-545-3773
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist