Provider Demographics
NPI:1417677402
Name:DUONG, ANH (PHARMD)
Entity type:Individual
Prefix:
First Name:ANH
Middle Name:
Last Name:DUONG
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 1:11401 COIT RD.
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-3815
Mailing Address - Country:US
Mailing Address - Phone:469-237-3890
Mailing Address - Fax:469-237-3891
Practice Address - Street 1:11401 COIT RD.
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3815
Practice Address - Country:US
Practice Address - Phone:469-237-3890
Practice Address - Fax:469-237-3891
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist