Provider Demographics
NPI:1063727808
Name:DANG, DANH (RPH)
Entity type:Individual
Prefix:
First Name:DANH
Middle Name:
Last Name:DANG
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 1:1000 SAWTOOTH DR
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-2476
Mailing Address - Country:US
Mailing Address - Phone:909-981-1592
Mailing Address - Fax:909-445-0340
Practice Address - Street 1:1000 SAWTOOTH DR
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2476
Practice Address - Country:US
Practice Address - Phone:909-981-1592
Practice Address - Fax:909-445-0340
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist