Provider Demographics
NPI:1306076203
Name:HOANG, Y-UYEN (PHARMD)
Entity type:Individual
Prefix:
First Name:Y-UYEN
Middle Name:
Last Name:HOANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9467 COTE DOR DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-4632
Mailing Address - Country:US
Mailing Address - Phone:916-686-2713
Mailing Address - Fax:
Practice Address - Street 1:8368 ELK GROVE FLORIN RD
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-9228
Practice Address - Country:US
Practice Address - Phone:916-681-3558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-26
Last Update Date:2009-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 55322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist