Provider Demographics
NPI:1124629498
Name:DO, ALAN HUY (PHARM D)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:HUY
Last Name:DO
Suffix:
Gender:M
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 1:143 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BAY POINT
Mailing Address - State:CA
Mailing Address - Zip Code:94565-3022
Mailing Address - Country:US
Mailing Address - Phone:925-787-6487
Mailing Address - Fax:
Practice Address - Street 1:31091 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-7601
Practice Address - Country:US
Practice Address - Phone:510-489-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist